Initial Statement of Beneficial Ownership (3)
April 07 2020 - 7:15PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
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3235-0104
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Sirkes Guy |
2. Date of Event Requiring Statement (MM/DD/YYYY)
3/31/2020
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3. Issuer Name and Ticker or Trading Symbol
Nine Energy Service, Inc. [NINE]
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(Last)
(First)
(Middle)
2001 KIRBY DRIVE, SUITE 200 |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner
___X___ Officer (give title below) _____ Other (specify below)
SVP and CFO / |
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(Street)
HOUSTON, TX 77019
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4) | 2. Amount of Securities Beneficially Owned
(Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5) | 4. Nature of Indirect Beneficial Ownership
(Instr. 5) |
| Common Stock | 7397 | D | |
| Common Stock | 6784 (1) | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4) | 2. Date Exercisable and Expiration Date
(MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5) | 6. Nature of Indirect Beneficial Ownership
(Instr. 5) |
| Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
| Explanation of Responses: |
| (1) | Represents shares of restricted stock granted on March 25, 2019 under the Nine Energy Service, Inc. 2011 Stock Incentive Plan, which will vest in two equal installments on March 25, 2021 and March 25, 2022. |
Remarks:
See attached for Exhibit 24 - Power of Attorney. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Sirkes Guy
2001 KIRBY DRIVE, SUITE 200
HOUSTON, TX 77019 |
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| SVP and CFO |
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Signatures
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| /s/ Guy Sirkes by Theodore R. Moore, as Attorney-in-fact | | 4/7/2020 |
| **Signature of Reporting Person | Date |
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