0001209191-22-031218.txt : 20220520 0001209191-22-031218.hdr.sgml : 20220520 20220520210014 ACCESSION NUMBER: 0001209191-22-031218 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210514 FILED AS OF DATE: 20220520 DATE AS OF CHANGE: 20220520 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Broussard Joel CENTRAL INDEX KEY: 0001754320 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38025 FILM NUMBER: 22949402 MAIL ADDRESS: STREET 1: C/O U.S. WELL SERVICES, INC. STREET 2: 1360 POST OAK BOULEVARD, SUITE 1800 CITY: HOUSTON STATE: TX ZIP: 77056 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: U.S. WELL SERVICES, INC. CENTRAL INDEX KEY: 0001670349 STANDARD INDUSTRIAL CLASSIFICATION: OIL, GAS FIELD SERVICES, NBC [1389] IRS NUMBER: 811847117 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1360 POST OAK BOULEVARD, SUITE 1800 CITY: HOUSTON STATE: TX ZIP: 77056 BUSINESS PHONE: (832) 562-3730 MAIL ADDRESS: STREET 1: 1360 POST OAK BOULEVARD, SUITE 1800 CITY: HOUSTON STATE: TX ZIP: 77056 FORMER COMPANY: FORMER CONFORMED NAME: Matlin & Partners Acquisition Corp DATE OF NAME CHANGE: 20160422 FORMER COMPANY: FORMER CONFORMED NAME: MP Acquisition I Corp. DATE OF NAME CHANGE: 20160324 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-05-14 0 0001670349 U.S. WELL SERVICES, INC. USWS 0001754320 Broussard Joel 1360 POST OAK BOULEVARD, SUITE 1800 HOUSTON TX 77056 1 0 0 1 Chairman of the Board Class A Common Stock 2022-05-20 4 D 0 61400 0.00 D 559113 D Deferred Stock Units 2021-05-14 4 A 0 1026513 0.00 A Class A Common Stock 1026513 2328046 D Deferred Stock Units 2021-08-16 4 A 0 71826 0.00 A Class A Common Stock 71826 2240853 D The restricted stock was forfeited pursuant to a Forfeiture Agreement entered into by and between the Issuer and the Reporting Person. Each Deferred Stock Unit represents a contingent right to receive one share of the Issuer's Class A common stock, par value $0.0001 per share (the "Common Stock"). The shares of Common Stock issuable with respect to vested Deferred Stock Units shall be issued in a lump sum on the earlier of the following dates and otherwise only as follows: (a) The 60th day after a termination of the Reporting Persons Continuous Service; (b) The consummation of a Change in Control (with such issuance deemed to occur as of immediately prior to such Change in Control to the extent permitted under Code Section 409A, but with the timing of such issuance otherwise determined by the Company); and (c) Upon the fifth (5th) anniversary of the Grant Date. Defined terms used but not defined herein shall have the meaning ascribed to such term in the Deferred Stock Unit Award Agreement. Reduced by 159,019 stock options forfeited for no consideration in May 2022. /s/ Erin C. Simonson, Attorney-in-Fact 2022-05-20