0001181431-15-002441.txt : 20150213 0001181431-15-002441.hdr.sgml : 20150213 20150213142310 ACCESSION NUMBER: 0001181431-15-002441 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141231 FILED AS OF DATE: 20150213 DATE AS OF CHANGE: 20150213 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: 2930 W. SAM HOUSTON PARKWAY N STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77043 BUSINESS PHONE: 7138499911 MAIL ADDRESS: STREET 1: 2930 W. SAM HOUSTON PARKWAY N STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77043 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: 15612754 MAIL ADDRESS: STREET 1: 10603 W. SAM HOUSTON PKWY N. STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77043 5 1 rrd422356.xml ADJUSTMENTS FOR GRAT TO IRREVOCABLE TRUST GIFTS, CHARITABLE GIFT AND SHARE CORRECTION X0306 5 2014-12-31 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 Stock 2014-12-10 5 G 0 12400 0 D 229404 I By Carla Shulz Hardy Revocable Trust Common Stock 2014-12-08 5 G 0 200021 0 D 0 I By Carla S. Hardy Grantor Retained Annuity Trust Common Stock 2014-12-08 5 G 0 66674 0 A 66674 I By William M. Hardy V Irrevocable Trust Common Stock 2014-12-08 5 G 0 66674 0 A 66674 I By Helen G. Hardy Irrevocable Trust Common Stock 2014-12-08 5 G 0 66673 0 A 66673 I By Sutton N. Hardy Irrevocable Trust Common Stock 4380 D Ms. Hardy is a trustee and beneficiary of the named trusts. 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. Adjusted for 6,864 shares, vested on 6/10/2014 that were incorrectly reported on Form 4 as Direct ownership instead of Indirect ownership (overstating the Direct ownership ending balance and understating the Carla Shulz Hardy Revocable Trust ending balance) /s/Carla Schulz Hardy 2015-02-13