Statement of Changes in Beneficial Ownership (4)
19 Novembro 2018 - 8:55PM
Edgar (US Regulatory)
FORM 4
[
X
]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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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
*
CAPTAIN Q, LLC
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2. Issuer Name
and
Ticker or Trading Symbol
GULFMARK OFFSHORE INC
[
GLF
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
__
X
__ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
301 COMMERCE STREET, SUITE 3200,
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3. Date of Earliest Transaction
(MM/DD/YYYY)
11/15/2018
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(Street)
FORT WORTH, TX 76102
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person
_
X
_ Form filed by More than One Reporting Person
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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)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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11/15/2018
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D
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1177150
(1)
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D
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(1)
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0
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D
(1)
(3)
(4)
(5)
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Common Stock
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11/15/2018
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D
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5875
(2)
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D
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(2)
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0
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D
(2)
(3)
(4)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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(1)
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On November 15, Tidewater Inc. ("TDW") completed a merger with GulfMark Offshore, Inc. ("GLF") (the "Merger"), which resulted in each of the Issuer's shares reported herein being converted into 1.100 shares of TDW common stock.
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(2)
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5,875 restricted stock units that represented a contingent right to receive the equivalent number of shares of GLF common stock for no consideration that vested on November 15, 2018 (the "Award"). Such shares were issued to Renegade Swish, LLC ("RS"). Each such share was converted into 1.100 shares of TDW common stock in connection with the Merger.
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(3)
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Each of Captain Q (defined below), RS and Raynor (defined below) may be deemed to have been a director by deputization for purposes of Section 16 under the Securities Exchange Act of 1934 (the "Act") by virtue of the fact that Scott McCarty, an employee of RS, served on the board of directors of the Issuer. Each of Captain Q, RS and Raynor hereby disclaims beneficial ownership of all shares reported herein, except to the extent of any direct or indirect pecuniary interest therein.
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(4)
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RS is the sole manager of Captain Q, LLC ("Captain Q"), which was the holder of 1,177,150 shares reported herein. RS is controlled and indirectly wholly owned by Geoffrey P. Raynor ("Raynor").
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(5)
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All shares reported herein as having been owned by Captain Q were held by Captain Q in its capacity as the general partner of 5 Essex, L.P.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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CAPTAIN Q, LLC
301 COMMERCE STREET, SUITE 3200
FORT WORTH, TX 76102
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X
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X
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Renegade Swish, LLC
301 COMMERCE STREET
SUITE 3200
FORT WORTH, TX 76102
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X
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X
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RAYNOR GEOFFREY
301 COMMERCE STREET
SUITE 3200
FORT WORTH, TX 76102
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X
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X
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Signatures
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/s/ Brandon Teague, Vice President, Captain Q, LLC
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11/19/2018
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**
Signature of Reporting Person
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Date
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/s/ Brandon Teague, Vice President, Renegade Swish, LLC
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11/19/2018
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**
Signature of Reporting Person
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Date
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/s/ Brandon Teague, Attorney-in-Fact for Geoffrey P. Raynor
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11/19/2018
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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