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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 | |
Mosing Kendall Garrett 10260 WESTHEIMER RD. HOUSTON, TX 77042 |
X |
Kendall G. Mosing, by Joshua K. Hancock, as Attorney-in-Fact | 12/04/2017 | |
**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) | Mosing Holdings, LLC made a distribution of shares of Frank's International N.V.'s common stock, par value Euro 0.01 per share (the "Common Stock") to certain of its members, including certain trusts of which Kendall G. Mosing is the trustee. |
(2) | The 1,908,140 shares reported are owned directly by the DBM 2009 QSST-IDG Trust, of which Kendall G. Mosing is the trustee. Mr. Mosing disclaims beneficial ownership of the Common Stock owned by the DBM 2009 QSST-IDG Trust, except to the extent of his pecuniary interest therein. |
(3) | The 1,908,140 shares reported are owned directly by the LKM 2009 QSST-IDG Trust, of which Kendall G. Mosing is the trustee. Mr. Mosing disclaims beneficial ownership of the Common Stock owned by the LKM 2009 QSST-IDG Trust, except to the extent of his pecuniary interest therein. |
(4) | As of December 4, 2017, the Kendall G. Mosing Family, L.L.C. ("KGM LLC") directly owns 10,224,888 shares of the Common Stock. KGM LLC is controlled by Kendall G. Mosing, in his capacity as its sole manager. Mr. Mosing disclaims beneficial ownership of the Common Stock owned by KGM LLC, except to the extent of his pecuniary interest therein. |
(5) | The 39,911,994 shares reported are owned directly by Mosing Holdings, LLC, as of December 4, 2017. As a result of the Voting Agreement, dated July 22, 2013, by and among Ginsoma Family C.V., FWW B.V., Mosing Holdings, Inc. and the other parties thereto, Mr. Mosing may be deemed to beneficially own shares of Common Stock owned by Mosing Holdings, LLC. Mr. Mosing disclaims beneficial ownership of the Common Stock owned by Mosing Holdings, LLC, except to the extent of his pecuniary interest therein. |