SEC Form 4 · accession 0001209191-16-089574
HORNBECK OFFSHORE SERVICES, INC. · HOS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Erik Staffeldt
Officer — VP - Finance and Accounting
Period of report
Jan 4, 2016
Accepted (ET)
Jan 6, 2016 · 11:18 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 StockF1 | Jan 4, 2016 | A | 23,764 | $0.00 | A | 33,070 | D | |
| Common StockF2 | Jan 4, 2016 | F | 539 | $5.26 | D | 32,531 | D | |
| Common StockF2 | Jan 4, 2016 | F | 377 | $5.26 | D | 32,154 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance Share UnitF4,F3,F5 | — | Jan 4, 2016 | A | 47,528 | A | — | — | Common Stock | 47,528 | 47,528 | D |
Explanation of responses
- 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.
- F2These shares were forfeited to satisfy tax obligations related to the vesting of the reporting person's restricted stock award.
- F3Each 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.
- F4Amount reported is 200% of the number of PSUs granted and the maximum number that may be earned.
- F5Upon payment of the PSUs which, shall occur no later than March 15, 2019.