0000928054-21-000111.txt : 20210607
0000928054-21-000111.hdr.sgml : 20210607
20210607185415
ACCESSION NUMBER: 0000928054-21-000111
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210603
FILED AS OF DATE: 20210607
DATE AS OF CHANGE: 20210607
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Nierenberg David
CENTRAL INDEX KEY: 0001040899
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13270
FILM NUMBER: 211000829
MAIL ADDRESS:
STREET 1: 19605 NE 8TH STREET
CITY: CAMAS
STATE: WA
ZIP: 98607
FORMER NAME:
FORMER CONFORMED NAME: NIERENBERG DAVID
DATE OF NAME CHANGE: 19970611
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: 8846 N. SAM HOUSTON PARKWAY W.
CITY: HOUSTON
STATE: TX
ZIP: 77064
BUSINESS PHONE: 7138499911
MAIL ADDRESS:
STREET 1: 8846 N. SAM HOUSTON PARKWAY W.
CITY: HOUSTON
STATE: TX
ZIP: 77064
4
1
wf-form4_162310644250968.xml
FORM 4
X0306
4
2021-06-03
0
0000928054
FLOTEK INDUSTRIES INC/CN/
FTK
0001040899
Nierenberg David
8846 N. SAM HOUSTON PKWY W.
HOUSTON
TX
77064
1
0
0
0
Common Stock
2021-06-03
4
A
0
103774
0
A
260111
D
Common Stock
152569
I
By Haredale Ltd.
Common Stock
1520390
I
By The D3 Family Fund, LP
Common Stock
3011673
I
By The D3 Family Bulldog Fund, LP
Grant of shares for annual retainer and board fees, which Mr. Nierenberg elected to take in stock rather than cash. Shares vest at the earlier of one year from date of grant and the 2022 annual meeting.
The reporting person disclaims ownership of these securities except to the extent of the reporting person's pecuniary interest therein.
/s/ Nicholas J. Bigney, attorney-in-fact
2021-06-07