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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
OIL STATES INTERNATIONAL, INC 333 CLAY STREET, SUITE 4620 HOUSTON, TX 77002 |
X |
/s/ Robert W. Hampton, Senior Vice President, Accounting and Corporate Secretary | 06/03/2014 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | On May 30, 2014, the Issuer issued these shares of its common stock to its sole stockholder, Oil States International, Inc. ("Oil States"), as partial consideration for Oil States' transfer of its accommodations business to the Issuer. |
(2) | On May 30, 2014, Oil States made a pro rata distribution of 100 percent of the outstanding common shares of the Issuer to Oil States' stockholders as of May 21, 2014, the record date for the transaction. Additional information about this transaction can be found in the Issuer's filings with the Securities and Exchange Commission, including a registration statement on Form 10. |
(3) | Prior to the issuance of these shares, Oil States owned 1,000 shares in the Issuer. Oil States' Form 3 filed on May 8, 2014 had a typographical error stating Oil States owned 10,000 shares in the Issuer. |