SEC Form 4 · accession 0001434842-15-000029
Forbes Energy Services Ltd. · FLSS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John E. Crisp
Officer — President & CEO · Director
Period of report
Oct 1, 2015
Accepted (ET)
Oct 5, 2015 · 4:18 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001434842
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Oct 1, 2015 | M | 10,584 | $0.00 | A | 1,480,967 | D | |
| Common StockF3 | Oct 1, 2015 | F | 5,292 | $0.46 | D | 1,475,675 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF1,F4 | — | Oct 1, 2015 | M | 10,584 | D | — | — | Common Stock | 10,584 | 21,168 | D |
Explanation of responses
- F1Restricted stock units convert into common stock on a one-for-one basis.
- F2The total reported in Column 5 bas been adjusted to correct an overstatement of total holdings by 10,584 shares first reflected in a Form 4 filed on July 2, 2015.
- F3Disposition of these shares represents payment of tax liability by delivering or withholding securities incident to the vesting of a common stock award issued in accordance with Rule 16B-3.
- F4On June 15, 2015, the reporting person was granted 42,336 resticted stock units, vesting quarterly in four equal installments beginning on July 1, 2015.