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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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. | SEC 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Restricted Stock Units | (2) | 10/15/2016 | M | 142 | (3) | 10/15/2022 | Common Stock | 142 | $ 0 | 87 | D | ||||
Restricted Stock Units | (4) | 10/15/2016 | F | 87 | (4) | 10/15/2022 | Common Stock | 87 | $ 0 | 0 | D | ||||
Restricted Stock Units | (2) | 10/15/2016 | M | 793 | (5) | 10/15/2023 | Common Stock | 793 | $ 0 | 1,749 | D | ||||
Restricted Stock Units | (4) | 10/15/2016 | F | 478 | (4) | 10/15/2023 | Common Stock | 478 | $ 0 | 1,271 | D | ||||
Restricted Stock Units | (2) | 10/15/2016 | M | 815 | (6) | 10/15/2024 | Common Stock | 815 | $ 0 | 3,102 | D | ||||
Restricted Stock Units | (4) | 10/15/2016 | F | 491 | (4) | 10/15/2024 | Common Stock | 491 | $ 0 | 2,611 | D | ||||
Restricted Stock Units | (2) | 10/15/2016 | M | 893 | (7) | 10/15/2025 | Common Stock | 893 | $ 0 | 4,835 | D | ||||
Restricted Stock Units | (4) | 10/15/2016 | F | 539 | (4) | 10/15/2025 | Common Stock | 539 | $ 0 | 4,296 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Ott Jeffrey L 13131 DAIRY ASHFORD, SUITE 600 SUGAR LAND, TX 77478 |
President, TeamFurmanite&Quest |
Jeffrey L. Ott | 10/25/2016 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Represents vesting of restricted Stock Units and conversion to Team Common Stock. |
(2) | Stock Units convert on a 1-for-1 basis into shares of Team Common Stock. |
(3) | Stock Units vest 25% on 10/15/2013, 10/15/2014, 10/15/2015 and 10/15/2016, unless earlier terminated in accordance with the Plan. Stock Units will automatically be converted into shares of Common Stock in accordance with the respective vesting schedule. |
(4) | Represents the portion of Stock Units withheld for income taxes prior to settlement in Common Stock. |
(5) | Stock Units vest 25% on 10/15/2014, 10/15/2015, 10/15/2016 and 10/15/2017, unless earlier terminated in accordance with the Plan. Stock Units will automatically be converted into shares of Common Stock in accordance with the respective vesting schedule. |
(6) | Stock Units vest 25% on 11/4/2015, 10/15/2016, 10/15/2017 and 10/15/2018, unless earlier terminated in accordance with the Plan. Stock Units will automatically be converted into shares of Common Stock in accordance with the repective vesting schedule. |
(7) | Stock Units vest 25% on 10/15/2016, 10/15/2017, 10/15/2018 and 10/15/2019, unless earlier terminated in accordance with the Plan. Stock Units will automatically be converted into shares of Common Stock in accordance with the respective vesting schedule. |