0001193125-13-059762.txt : 20130214 0001193125-13-059762.hdr.sgml : 20130214 20130214150740 ACCESSION NUMBER: 0001193125-13-059762 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20130214 DATE AS OF CHANGE: 20130214 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Forbes Charles C. CENTRAL INDEX KEY: 0001513569 FILING VALUES: FORM TYPE: SC 13G MAIL ADDRESS: STREET 1: 3000 SOUTH BUSINESS HIGHWAY 281 CITY: ALICE STATE: TX ZIP: 78332 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: Forbes Energy Services Ltd. CENTRAL INDEX KEY: 0001434842 STANDARD INDUSTRIAL CLASSIFICATION: OIL, GAS FIELD SERVICES, NBC [1389] IRS NUMBER: 000000000 STATE OF INCORPORATION: D0 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-86706 FILM NUMBER: 13612564 BUSINESS ADDRESS: STREET 1: 3000 SOUTH BUSINESS HIGHWAY 281 CITY: ALICE STATE: TX ZIP: 78332 BUSINESS PHONE: 361-664-0549 MAIL ADDRESS: STREET 1: 3000 SOUTH BUSINESS HIGHWAY 281 CITY: ALICE STATE: TX ZIP: 78332 SC 13G 1 d486487dsc13g.htm SCHEDULE 13G SCHEDULE 13G

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

SCHEDULE 13G

Under the Securities Exchange Act of 1934

 

 

Forbes Energy Services Ltd.

(Name of Issuer)

Common Stock, par value $0.04 per share

(Title of Class of Securities)

345143101

(CUSIP Number)

December 31, 2011

(Date of Event which Requires Filing of this Statement)

 

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

¨ Rule 13d-1(b)

¨ Rule 13d-1(c)

x Rule 13d-1(d)

(Continued on following pages)

(Page 1 of 5 Pages)

 

 

 

CUSIP No. 345143101   Schedule 13G   Page 2 of 5 Pages

 

  1   

NAME OF REPORTING PERSONS

 

Charles C. Forbes, Jr.

  2  

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP

(a)  ¨        (b)  ¨

 

  3  

SEC USE ONLY

 

  4  

CITIZENSHIP OR PLACE OF ORGANIZATION

 

    United States of America

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON

WITH

    5    

SOLE VOTING POWER

 

2,553,962 (includes 20,250 shares of common stock issuable upon exercise of options within 60 days of December 31, 2011).

   6   

SHARED VOTING POWER

 

    None

   7   

SOLE DISPOSITIVE POWER

 

2,553,962 (includes 20,250 shares of common stock issuable upon exercise of options within 60 days of December 31, 2011).

   8   

SHARED DISPOSITIVE POWER

 

    None

  9  

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

2,553,962 (includes 20,250 shares of common stock issuable upon exercise of options within 60 days of December 31, 2011).

10  

CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES   ¨

 

11  

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

    12.2%

12  

TYPE OF REPORTING PERSON

 

    IN

CUSIP No. 345143101   Schedule 13G   Page 3 of 5 Pages

 

Item 1(a). Name of Issuer:

Forbes Energy Services Ltd.

 

Item 1(b). Address of Issuer’s Principal Executive Offices:

3000 South Business Highway 281, Alice, Texas 78332.

 

Item 2(a). Name of Person Filing:

Charles C. Forbes, Jr.

 

Item 2(b). Address of Principal Business Office or, if None, Residence:

3000 South Business Highway 281, Alice, Texas 78332.

 

Item 2(c). Citizenship:

Charles C. Forbes, Jr. is a citizen of the United States of America.

 

Item 2(d). Title of Class of Securities:

Common Stock, par value $0.04 per share.

 

Item 2(e). CUSIP Number:

345143101.

 

Item 3. If this statement is filed pursuant to §§ 240.13d-1(b), or 240.13d-2(b) or (c), check whether the person filing is a:

Not applicable.

 

Item 4. Ownership:

(a) Charles C. Forbes, Jr. beneficially owns 2,553,962 shares of common stock, which includes 20,250 shares of common stock issuable upon exercise of options within 60 days of December 31, 2011.

(b) All shares of common stock beneficially owned by Charles C. Forbes, Jr. represent 12.2% of the outstanding shares of common stock of the Issuer based on (i) 20,918,417 shares outstanding as of December 31, 2011 plus (ii) the aforementioned 20,250 shares of common stock issuable upon exercise of options within 60 days of December 31, 2011.

(c) Charles C. Forbes, Jr. has sole power to vote or to direct the vote of 2,553,962 shares of common stock, sole power to dispose or to direct the disposition of 2,553,962 shares of common stock, shared power to vote or to direct the vote of no shares of common stock and shared power to dispose or to direct the disposition of no shares of common stock.

CUSIP No. 345143101   Schedule 13G   Page 4 of 5 Pages

 

Item 5. Ownership of Five Percent or Less of a Class.

Not applicable

 

Item 6. Ownership of More Than Five Percent on Behalf of Another Person.

Not applicable.

 

Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company.

Not applicable.

 

Item 8. Identification and Classification of Members of the Group.

Not applicable.

 

Item 9. Notice of Dissolution of Group.

Not applicable.

 

Item 10. Certification.

Not applicable.

CUSIP No. 345143101   Schedule 13G   Page 5 of 5 Pages

 

SIGNATURES

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

Dated: February 14, 2013

 

/s/ Charles C. Forbes, Jr.

Charles C. Forbes, Jr., in his individual capacity