SEC Form 4 · accession 0001209191-17-011589

HORNBECK OFFSHORE SERVICES INC /LA · HOS

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Executive VP & General Counsel

Period of report

Feb 14, 2017

Accepted (ET)

Feb 16, 2017 · 5:22 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001131227

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
COMMON STOCK^F1	Feb 14, 2017	A	40,975	$0.00	A	228,841	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
PHANTOM STOCK^F2	—	Feb 14, 2017	A	40,975	A	Feb 14, 2018	Feb 14, 2020	COMMON STOCK	40,975	40,975	D
PHANTOM STOCK^F3	—	Feb 14, 2017	A	81,951	A	Feb 14, 2020	Feb 14, 2020	COMMON STOCK	81,951	81,951	D

F1These time-vest restricted stock unit awards will vest in three equal annual installments on the 1st, 2nd and 3rd anniversaries of the Grant Date.
F2These time-vest phantom restricted stock unit awards will vest in three equal annual installments on the 1st, 2nd and 3rd anniversaries of the Grant Date. Each is the economic equivalent of one share of the Company's Common Stock. These phantom shares are payable in either stock or cash at the election of the Company.
F3These performance-vest phantom restricted stock awards can vest in whole or in part on the 3rd anniversary of the Grant Date based upon the Company achieving certain levels of specified performance objectives. The number of units listed above represent the maximum amount that may be earned, or 150% of the target grant. Each is the economic equivalent of one share of the Company's Common Stock. These phantom shares are payable in either stock or cash at the election of the Company.