SEC Form 4 · accession 0001209191-18-008524

HORNBECK OFFSHORE SERVICES INC /LA · HOS

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

Reporting owner

Officer — SVP & Chief Human Resources Of

Period of report

Feb 6, 2018

Accepted (ET)

Feb 8, 2018 · 6:04 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,F2	Feb 6, 2018	D	36	$0.00	D	127,006	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
PHANTOM STOCK^F3	—	Feb 6, 2018	A	143,212	A	Feb 6, 2019	Feb 6, 2021	COMMON STOCK	143,212	143,212	D
PHANTOM STOCK^F4	—	Feb 6, 2018	A	143,212	A	Feb 6, 2021	Feb 6, 2021	COMMON STOCK	143,212	143,212	D

F1These shares represent the forfeiture of a portion of a performance - vest restricted stock unit award granted February 5, 2013.
F2Includes 500 shares acquired under the Company's employee stock purchase plan on June 30, 2017 and 500 shares acquired under the Company's employee stock purchase plan on December 31, 2017.
F3These 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, cash or notes payable at the election of the Company.
F4These 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, cash or notes payable at the election of the Company.