SEC Form 4 · accession 0001434842-15-000032
Forbes Energy Services Ltd. · FLSS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Travis H. Burris
Director
Period of report
Oct 1, 2015
Accepted (ET)
Oct 5, 2015 · 4:20 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 | Oct 1, 2015 | M | 10,584 | $0.00 | A | 100,366 | D | |
| Common StockF2 | holding | — | — | — | 450 | I | By son |
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,F3 | — | Oct 1, 2015 | M | 10,854 | D | — | — | Common Stock | 10,854 | 20,898 | D |
Explanation of responses
- F1Restricted stock units convert into common stock on a one-for-one basis.
- F2The Reporting Person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for the purposes of Section 16 or for any other purpose.
- F3On June 15, 2015, the reporting person was granted 42,336 resticted stock units, vesting quarterly in four equal installments beginning on July 1, 2015.