0001181431-15-002508.txt : 20150213 0001181431-15-002508.hdr.sgml : 20150213 20150213163904 ACCESSION NUMBER: 0001181431-15-002508 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: SNIVELY JOSHUA A CENTRAL INDEX KEY: 0001548622 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13270 FILM NUMBER: 15615422 MAIL ADDRESS: STREET 1: 42745 U.S. HIGHWAY 27 CITY: DAVENPORT STATE: FL ZIP: 33837 5 1 rrd422359.xml ADJUSTMENT FOR GRAT TO IRREVOCABLE TRUST GIFT, AND SHARE CORRECTIONS X0306 5 2014-12-31 0 0 0 0000928054 FLOTEK INDUSTRIES INC/CN/ FTK 0001548622 SNIVELY JOSHUA A 10603 W. SAM HOUSTON PKWY N. SUITE 300 HOUSTON TX 77064 0 1 0 0 EVP Chemistry Research Common Stock 2014-11-28 5 G 0 143916 0 D 0 I By Joshua A. Snively, Sr. Grantor Retained Trust Common Stock 2014-11-28 5 G 0 143916 0 A 143916 I By Joshua A. Snively, Sr. Irrevocable Trust Common Stock 102796 I By Joshua A. Snively, Sr. and Heather B. Snively Revocable Trust Common Stock 68758 D Mr. Snively, Sr. is a trustee and beneficiary of the named trusts. Mr. Snively, Sr. disclaims beneficial ownership of such shares except to the extent of his pecuniary interests therein. Includes the addition of 966 shares purchased through the Employee Stock Purchase Program at an average price of $24.7980/share. Adjusted for 2,786 shares withheld for tax obligation on 2/14/2014 that were incorrectly reported on Form 4 as Direct ownership instead of Indirect Ownership (understating the Direct ownership ending balance and overstating the Joshua A. Snively, Sr and Heather B. Snively Revocable Trust ending balance). Balance corrected for overstatement of 28 shares, 10 shares attributable to the Joshua A. Snively, Sr. and Heather B. Snively Revocable Trust and 18 shares attributable to the Joshua A. Snively, Sr. Granto Retained Annuity Trust. Mr. Snively, Sr.'s spouse is a trustee and beneficiary of the named trust. Mr. Snively, Sr. disclaims beneficial ownership of such shares except to the extent of his pecuniary interests therein. /s/ Joshua A. Snively, Sr. 2015-02-13