0001109189-21-000026.txt : 20210223 0001109189-21-000026.hdr.sgml : 20210223 20210223211938 ACCESSION NUMBER: 0001109189-21-000026 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210219 FILED AS OF DATE: 20210223 DATE AS OF CHANGE: 20210223 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hurley Adam Logan CENTRAL INDEX KEY: 0001749583 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32693 FILM NUMBER: 21668201 MAIL ADDRESS: STREET 1: 801 CHERRY STREET, SUITE 2100, UNIT #21 CITY: FORT WORTH STATE: TX ZIP: 76102 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BASIC ENERGY SERVICES, INC. CENTRAL INDEX KEY: 0001109189 STANDARD INDUSTRIAL CLASSIFICATION: OIL, GAS FIELD SERVICES, NBC [1389] IRS NUMBER: 542091194 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 801 CHERRY STREET STREET 2: SUITE 2100 CITY: FORT WORTH STATE: TX ZIP: 76102 BUSINESS PHONE: 817-334-4100 MAIL ADDRESS: STREET 1: 801 CHERRY STREET STREET 2: SUITE 2100 CITY: FORT WORTH STATE: TX ZIP: 76102 FORMER COMPANY: FORMER CONFORMED NAME: BASIC ENERGY SERVICES INC DATE OF NAME CHANGE: 20000523 FORMER COMPANY: FORMER CONFORMED NAME: SIERRA WELL SERVICE INC DATE OF NAME CHANGE: 20000313 4 1 wf-form4_161413315616047.xml FORM 4 X0306 4 2021-02-19 0 0001109189 BASIC ENERGY SERVICES, INC. BASX 0001749583 Hurley Adam Logan 801 CHERRY ST, SUITE 2100 FORT WORTH TX 76102 0 1 0 0 See Remarks Common Stock 2021-02-19 4 M 0 14552 A 62636 D Common Stock 2021-02-19 4 D 0 14552 0.1625 D 48084 D Performance- Based Phantom Shares 2021-02-19 4 A 0 29103 0 A Common Stock 29103.0 29103 D Performance- Based Phantom Shares 2021-02-19 4 M 0 14552 0 D Common Stock 14552.0 14551 D Represents cash-settled performance-based phantom shares (the "Phantom Shares") granted under the Basic Energy Services, Inc. 2019 Long Term Incentive Plan, vesting in one-half increments on February 19, 2021 and 2022. Each cash-settled time-based phantom share is the economic equivalent of one share of Company common stock, subject to a maximum settlement amount of $9.00 per phantom share. The settlement of the Phantom Shares for cash is reported on this Form 4 as a disposition of the Phantom Shares being settled in exchange for the acquisition of the underlying Company common stock, and a simultaneous disposition of the underlying Company common stock to the Company for cash. 02/19/2021 Executive Vice President, Chief Financial Officer, Tresurer and Secretary /s/ Dasha K. Hodge, Attorney-in-Fact 2021-02-23