0000928054-18-000016.txt : 20180212 0000928054-18-000016.hdr.sgml : 20180212 20180212190517 ACCESSION NUMBER: 0000928054-18-000016 CONFORMED SUBMISSION TYPE: 5/A 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/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-13270 FILM NUMBER: 18598529 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/A 1 wf-form5a_151848030200423.xml FORM 5/A X0306 5/A 2017-12-31 2018-02-12 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 2017-12-31 5 J 0 0 0 D 0 I By William M. Hardy V 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. /s/Carla Schulz Hardy 2018-02-12