Forum Energy Technologies: Declaration of Change of Beneficial Ownership (Form 4)
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FORM 4
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN THE EFFECTIVE BENEFICIARIES OF THE SHARES Filed under 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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Table II – Beneficial ownership derivative securities (for exampleputs, calls, warrants, options, convertible securities)
(for exampleputs, calls, warrants, options, convertible securities)
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1. Title of derivative title |
2. Conversion or exercise price of the derivative security |
3. Transaction date (month/day/year) |
3A. Deemed execution date, if applicable (month/day/year) |
4. Transaction code |
5. Number of derivative securities acquired (A) or sold (D) |
6. Exercise date and expiry date |
7. Title and amount of the securities underlying the derivative securities |
8. Price of derivative securities |
9. Number of derivative securities beneficially owned as a result of reported transactions |
10. Form of ownership of derivative securities: direct (D) or indirect (I) |
11. Nature of Indirect Beneficial Ownership |
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Coded |
V |
(A) |
(D) |
Exercise date |
Expiration date |
Title |
Amount or number of shares |
Reporting owners
| Name/address of declaring owner | Relationships | |||
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Director |
10% Owner |
Officer |
Other |
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SCF Partners, Inc. |
Group member |
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SCF V LP |
X |
Group member |
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SCF-V, GP, Limited Partnership |
X |
Group member |
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SCF VI LP |
X |
Group member |
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SCF-VI, generalist, limited partnership |
X |
Group member |
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SCF-VII, LP |
X |
Group member |
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SCF-VII, generalist, limited partnership |
X |
Group member |
Signatures
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Anthony F. DeLuca / Reporting Person’s Officer |
2022-06-28 |
| **Signature of declaring person |
Date |
Explanation of answers:
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If the form is completed by several declarants, see |
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| Section 5(b)(v). |
(**) Intentional misrepresentation or omission of facts are federal criminal offenses. See |
| 18 USC 1001 and 15 USC 78ff(a). |
(1) |
SCF Partners, Inc. (formerly LE Simmons & Associates Inc.), a Delaware corporation (SCFP), manages each of SCFV, GP, LLC (SCFVGPLLC), SCFVI, GP, Limited Partnership (SCFVIGP) and SCFVII, GP Limited Partnership ( SCFVIIGP), SCF 2012A, LP and SCF 2012B, LP, each a Delaware limited partnership. In addition, SCFVGPLLC is the sole general partner of SCFV, LP (SCFV), SCFVIGP is the sole general partner of SCFVI, LP (SCFVI) and SCFVIIGP is the sole general partner of SCFVII, LP (SCFVII), Collectively, SCFP, SCF 2012A, LP , SCF 2012B, LP, SCFVGP LLC, SCFVIGP, SCFVIIGP, SCFV, SCFVI and SCFVII are the reporting entities. Based on the Reporting Person’s affiliation with the Reporting Entities, CUPE may be deemed to be the beneficial owner of all Common Shares of the Registrant owned or deemed to be beneficially owned by the Reporting Entities. Note: Submit three copies of this form, one of which must be manually signed. If space is insufficient, See
Instruction 6 for the procedure. Potential individuals who need to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.
Disclaimer Forum Energy Technologies Inc. published this content on June 28, 2022 and is solely responsible for the information contained therein. Distributed by Public, unedited and unmodified, onJune 28, 2022 8:15:25 PM UTC
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