SEC Form 4 · accession 0001513569-15-000009
Forbes Energy Services Ltd. · FLSS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Charles C. Forbes
Officer — Executive Vice President & COO · Director · 10% Owner
Period of report
Jul 1, 2015
Accepted (ET)
Jul 2, 2015 · 3:54 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 | Jul 1, 2015 | M | 10,584 | — | A | 2,848,135 | D | |
| Common StockF2 | Jul 1, 2015 | F | 5,292 | $1.37 | D | 2,842,843 | 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,F3 | — | Jul 1, 2015 | M | 10,584 | D | — | — | Common Stock | 10,584 | 31,752 | D |
Explanation of responses
- F1Restricted stock units convert into common stock on a one-for-one basis.
- F2Disposition 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.
- 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.