Form 4 U.S. WELL SERVICES, INC. For: Sep 17 Filed by: Crestview III USWS TE, LLC
FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person
*
(Street)
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2. Issuer Name
and
Ticker or Trading Symbol
U.S. WELL SERVICES, INC. [ USWS ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 09/17/2021 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check
Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Class A common stock | 09/17/2021 | M | 48,912,429 (1) | A | (1) | 69,287,429 | I | See footnote (3) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series B Redeemable Convertible Preferred Stock (1) | (1) | 09/17/2021 | M | 11,500 | (1) | (2) | Class A Common Stock | (1) | (1) | 0 | I | See footnote (3) |
By: Crestview Partners III GP, L.P., By: Crestview, L.L.C., its general partner, By: /s/ Ross A. Oliver, General Counsel | 09/21/2021 | |
** Signature of Reporting Person | Date | |
By: Crestview III USWS TE, LLC, By: /s/ Ross A. Oliver, General Counsel | 09/21/2021 | |
** Signature of Reporting Person | Date | |
By: Crestview III USWS, L.P., By: Crestview III USWS GenPar, LLC, By: /s/ Ross A. Oliver, General Counsel | 09/21/2021 | |
** Signature of Reporting Person | Date | |
By: Adam J. Klein, By: Ross A. Oliver, as Attorney-in-Fact | 09/21/2021 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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 Number. |
Exhibit 99
Joint Filer Information
Each of the following joint filers has designated Crestview Partners III GP, L.P. as the “Designated Filer” for purposes of the attached Form 4:
1. |
Crestview III USWS TE, LLC c/o Crestview Partners 590 Madison Avenue, 42nd Floor New York, NY 10022 | |
2. |
Crestview III USWS, L.P. c/o Crestview Partners 590 Madison Avenue, 42nd Floor New York, NY 10022 |
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3. |
Adam J. Klein c/o Crestview Partners 590 Madison Avenue, 42nd Floor New York, NY 10022 |
Date of Event Requiring Statement: September 17, 2021
Issuer Name and Ticker or Trading Symbol: U.S. Well Services, Inc. [USWS]
Crestview III USWS TE, LLC
By: |
/s/ Ross A. Oliver |
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Name: Ross A. Oliver | ||
Title: General Counsel |
Crestview III USWS, L.P.
By: Crestview III USWS GenPar, LLC
By: |
/s/ Ross A. Oliver |
|
Name: Ross A. Oliver | ||
Title: General Counsel |
Adam J. Klein
By: |
/s/ Ross A. Oliver, as Attorney-in-Fact |
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Date: September 21, 2021
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