| Accession Number: | 0001109189-20-000002 |
| Date: | 2020-01-05 |
| Issuer: | BASIC ENERGY SERVICES, INC. (BASX) |
| Original Submission Date: |
ROGERS DOUG
801 CHERRY STREET
SUITE 2100
FORT WORTH, TX 76102
| Title of Security | Transaction Date | 2a. Deemed Execution Date | Transaction Code | Shares | Acquired or Disposed | Price per share | 5. Amount of Securities Beneficially Owned Following Reported Transaction | 6. Ownership Form Direct or Indirect | Nature of Indirect Ownership |
|---|---|---|---|---|---|---|---|---|---|
| COMMON STOCK | 2020-01-05 | D | 15,492 | d | $0.00 | 25,169 | direct |
| Title of Derivative Security | Conversion or Exercise Price of Derivative Security | Transaction Date | Deemed Execution Date | Transaction Code | Number of Derivative Securities Acquired (A) or Disposed of (D) | Date Exercisable | Expiration Date | Title and Amount of Securities Underlying Derivative Security | Price of Derivative Security | Number of derivative Securities Beneficially Owned Following Reported Transaction(s) | Ownership Form: Direct (D) or Indirect (I) | Nature of Indirect Beneficial Ownership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RESTRICTED STOCK UNITS | 0.0 | 2020-01-05 | deemed execution date | D | 20,687 (d) | common stock 20,687 | $0.00 | 0 | direct | |||
| TIME-BASED PHANTOM SHARES | 0.0 | 2020-01-05 | deemed execution date | D | 15,492 (d) | common stock 15,492 | $0.00 | 0 | direct |
| ID | footnote |
|---|---|
| f1 | represents the forfeiture of 15,492 shares of time vesting restricted stock granted under the basic energy services, inc. 2019 long term incentive plan, (the "ltip"), which were set to vest in one-third increments on may 15, 2020, 2021 and 2022. |
| f2 | represents the forfeiture of restricted stock units of the company, which convert into common stock on a one-for-one basis and were set to vest in two annual installments, on march 15, 2020 and 2021. |
| f3 | represents the forfeiture of cash-settled time-based phantom shares granted under the ltip, which were set to vest in one-third increments on may 15, 2020, 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. |
