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