FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
FLOTEK INDUSTRIES INC/CN/ [ FTK ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 08/12/2009 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 591,354 | D | ||||||||
Common Stock | 18,096 | I | Saxton River Corporation | |||||||
Common Stock | 26,000 | I | Dora Tes Foundation |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Option | $9.4 | 09/21/2005 | 09/20/2014 | Common Stock | 130,279 | 130,279 | D | ||||||||
Stock Option | $2.125 | 12/10/2005 | 12/09/2014 | Common Stock | 66,940 | 197,219 | D | ||||||||
Stock Option | $13.805 | 03/13/2008 | 03/12/2013 | Common Stock | 54,348 | 251,567 | D | ||||||||
Stock Option | $22.37 | 05/18/2008 | 05/17/2013 | Common Stock | 66,600 | 318,167 | D | ||||||||
Stock Option | $22.75 | 03/28/2009 | 03/27/2014 | Common Stock | 27,776 | 345,943 | D | ||||||||
Stock Option | $2.51 | 02/16/2010 | 02/15/2015 | Common Stock | 200,000 | 545,943 | D | ||||||||
Preferred Stock(1) | $2.3 | 08/12/2009 | P | 86,956 | 08/12/2009 | (7) | Common Stock | 86,956 | $1,000 | 632,899 | D | ||||
Exercisable Warrants(2) | $2.31 | 08/12/2009 | P | 31,000 | 08/12/2009 | 08/11/2014 | Common Stock | 31,000 | (6) | 663,899 | D | ||||
Contingent Warrants(3) | $2.45 | 08/12/2009 | P | 100,000 | (4) | (5) | Common Stock | 100,000 | (6) | 763,899 | D |
Explanation of Responses: |
1. The Series A Cumulative Convertible Preferred Stock is convertible into 434.782 shares of Common Stock per share of Preferred Stock. |
2. The Exercisable Warrants are exercisable into shares of Common Stock at an exercise price of $2.31 per share. |
3. The Contingent Warrants are exercisable into shares of Common Stock at an exercise price of $2.45 per share. |
4. The Contingent Warrants are exercisable on or after the date the stockholders approve the Contingent Warrants and the amendment to the Certificate of Incorporation of the Company to increase the number of authorized shares of Common Stock. |
5. The Contingent Warrants expire on or after the earlier of (1) 5:00 p.m. Eastern time on the date the Company obtains stockholder approval as described in footnote (4) above or (2) 5:00 p.m. Eastern time on October 11, 2017. |
6. The Warrants were acquired in connection with the purchase of units comprised of the Preferred Stock, exercisable warrants and contingent warrants, for a purchase price of $1,000.00 per unit. |
7. The Preferred Stock is perpetual and has no expiration date. |
Jerry D. Dumas, Sr. | 08/24/2009 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |