0000928054-17-000021.txt : 20170214
0000928054-17-000021.hdr.sgml : 20170214
20170214184015
ACCESSION NUMBER: 0000928054-17-000021
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161231
FILED AS OF DATE: 20170214
DATE AS OF CHANGE: 20170214
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FLOTEK INDUSTRIES INC/CN/
CENTRAL INDEX KEY: 0000928054
STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS CHEMICAL PRODUCTS [2890]
IRS NUMBER: 900023731
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 10603 W. SAM HOUSTON PARKWAY N
STREET 2: SUITE 300
CITY: HOUSTON
STATE: TX
ZIP: 77043
BUSINESS PHONE: 7138499911
MAIL ADDRESS:
STREET 1: 10603 W. SAM HOUSTON PARKWAY N
STREET 2: SUITE 300
CITY: HOUSTON
STATE: TX
ZIP: 77043
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hardy Carla S.
CENTRAL INDEX KEY: 0001576961
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13270
FILM NUMBER: 17612059
MAIL ADDRESS:
STREET 1: 10603 W. SAM HOUSTON PKWY N.
STREET 2: SUITE 300
CITY: HOUSTON
STATE: TX
ZIP: 77043
5
1
wf-form5_148711559924280.xml
FORM 5
X0306
5
2016-12-31
0
0
0
0000928054
FLOTEK INDUSTRIES INC/CN/
FTK
0001576961
Hardy Carla S.
10603 W. SAM HOUSTON PKWY N.
SUITE 300
HOUSTON
TX
77064
1
0
0
0
Common Stock
2016-08-24
5
G
0
2795
0
D
192160
I
By Carla Shulz Hardy Revocable Trust
Common Stock
13813
D
Common Stock
66674
I
By William M. Hardy V Irrevocable Trust
Common Stock
66674
I
By Helen G. Hardy Irrevocable Trust
Common Stock
66673
I
By Sutton N. Hardy Irrevocable Trust
Transfer of 12,915 shares from direct ownership to indirect ownership through the Carla Shulz Hardy Revocable Trust.
Ms. Hardy is a trustee and beneficiary of the named trust. Ms. Hardy disclaims beneficial ownership of such shares except to the extent of her pecuniary interest therein.
Ms. Hardy is neither the trustee nor the beneficiary of the named trusts. Ms. Hardy disclaims beneficial ownership of such shares except to the extent of her pecuniary interest therein.
/s/Carla Schultz Hardy
2017-02-14