0000928054-18-000014.txt : 20180212
0000928054-18-000014.hdr.sgml : 20180212
20180212171707
ACCESSION NUMBER: 0000928054-18-000014
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171231
FILED AS OF DATE: 20180212
DATE AS OF CHANGE: 20180212
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: 18597579
MAIL ADDRESS:
STREET 1: 10603 W. SAM HOUSTON PKWY N.
STREET 2: SUITE 300
CITY: HOUSTON
STATE: TX
ZIP: 77043
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
5
1
wf-form5_151847381006565.xml
FORM 5
X0306
5
2017-12-31
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 Sotck
24452
D
Common Stock
0
I
By William M. Hardy V Irrevocable Trust
Common Stock
192160
I
By Carla Schulz Hardy Revocable Trust
Common Stock
66674
I
By Helen G. Hardy Irrevocable Trust
Common Stock
66673
I
By Sutton N. Hardy Irrevocable Trust
Ms. Hardy has previously reported a beneficial interest in shares of common stock of the Company held by an irrevocable trust for the benefit of a dependent child. This child is no longer a dependent of Ms. Hardy and, as a result, Ms. Hardy no longer has any beneficial interest in the shares of common stock of the Company owned by the trust and such shares are no longer included herein.
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 Schulz Hardy
2018-02-12