0000928054-17-000023.txt : 20170214 0000928054-17-000023.hdr.sgml : 20170214 20170214184230 ACCESSION NUMBER: 0000928054-17-000023 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: SNIVELY JOSHUA A CENTRAL INDEX KEY: 0001548622 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13270 FILM NUMBER: 17612069 MAIL ADDRESS: STREET 1: 42745 U.S. HIGHWAY 27 CITY: DAVENPORT STATE: FL ZIP: 33837 5 1 wf-form5_148711572536121.xml FORM 5 X0306 5 2016-12-31 0 0 0 0000928054 FLOTEK INDUSTRIES INC/CN/ FTK 0001548622 SNIVELY JOSHUA A 10603 W. SAM HOUSTON PKWY N. SUITE 300 HOUSTON TX 77064 0 1 0 0 EVP Chemistry Research Common Stock 24350 D Common Stock 132503 I By Joshua A. Snively, Sr. and Heather B. Snively Revocable Trust Common Stock 128916 I By Joshua A. Snively, Sr. Irrevocable Trust Transfer of 28,158 shares from direct ownership to indirect ownership through the Joshua A. Snively, Sr. and Heather B. Snively Revocable Trust. Mr. Snively is a trustee and beneficiary of the named trusts. Mr. Snively disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein. Mr. Snively, Sr.'s spouse is a trustee and beneficiary of the named trust. Mr. Snively, Sr. disclaims beneficial ownership of such shares except to the extent of his pecuniary interests therein. /s/ Joshua A. Snively, Sr. 2017-02-14