Statement of Changes in Beneficial Ownership (4)
14 Juli 2020 - 10:39PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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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
*
Rasmus Robert E. |
2. Issuer Name and Ticker or Trading Symbol
Hi-Crush Inc.
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HCR
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) CEO and Director |
(Last)
(First)
(Middle)
1330 POST OAK BLVD., SUITE 600 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
7/10/2020 |
(Street)
HOUSTON, TX 77056
(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)
_X
_ Form filed by One Reporting Person
___ 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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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) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 | 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 of Derivative Security: 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 |
Performance Share Units | (1) | 7/10/2020 | | D | | | 225000 | (1) | (1) | Common Stock | 225000.0 | $0 | 0 | D | |
Restricted Stock Units | (1) | 7/10/2020 | | D | | | 270239 | (1) | (1) | Common Stock | 270239.0 | $0 | 0 | D | |
Explanation of Responses: |
(1) | Pursuant to the Executive Retention Agreement between the reporting person and Hi-Crush Services LLC, a subsidiary of Hi-Crush Inc. (the "Issuer"), the Issuer made a one-time cash payment, subject to repayment based on certain conditions, to the reporting person in exchange for the forfeiture of all outstanding equity awards granted by the Issuer, the forfeiture of an annual cash bonus opportunity for 2020 and continued service with the Issuer or one of its subsidiaries. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Rasmus Robert E. 1330 POST OAK BLVD. SUITE 600 HOUSTON, TX 77056 | X |
| CEO and Director |
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Signatures
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/s/ Mark C. Skolos, as Attorney-In-Fact for Robert E. Rasmus | | 7/14/2020 |
**Signature of Reporting Person | Date |
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