SEC Form 4 · accession 0001209191-16-089566

HORNBECK OFFSHORE SERVICES, INC. · HOS

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

Reporting owner

Officer — EVP - Operations

Period of report

Jan 4, 2016

Accepted (ET)

Jan 6, 2016 · 11:09 am EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0000866829

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F1,F2	Jan 4, 2016	A	102,186	$0.00	A	111,214	D
Common Stock^F3	Jan 4, 2016	F	627	$5.26	D	110,587	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Performance Share Unit^F5,F4,F6	—	Jan 4, 2016	A	204,372	A	—	—	Common Stock	204,372	204,372	D

F1This restricted stock award was granted pursuant to the Company's 2005 Long Term Incentive Plan (as Amended and Restated effective May 9, 2012) and therefore has no purchase or sales price.
F2Includes 869 shares purchased through the Company's Employee Stock Purchase Plan.
F3These shares were forfeited to satisfy tax obligations related to the vesting of the reporting person's restricted stock award.
F4Each Performance Share Unit ("PSU") represents the contingent right to receive one share of Company common stock. Actual number of shares upon vesting may range from 0% to 200% dependent on the Company's relative shareholder return as compared to its peer group over a three-year period beginning January 1, 2016 and ending December 31, 2018. The Compensation Committee has the option to pay the value in cash at its discretion.
F5Amount reported is 200% of the number of PSUs granted and the maximum number that may be earned.
F6Upon payment of the PSUs, which shall occur no later than March 15, 2019.