SEC FORM 4 SEC Form 4
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*
Dodson Bradley J

(Last) (First) (Middle)
333 CLAY STREET, SUITE 4980

(Street)
HOUSTON TX 77002

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Civeo Corp [ CVEO ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
See Remarks
3. Date of Earliest Transaction (Month/Day/Year)
05/30/2014
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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
Common Stock 05/30/2014 A 273,388(1) A (1) 273,388 D
Common Stock 05/30/2014 A 26,310(2) A $0 299,698 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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
Common Stock (Right to Purchase) $16.3(3) 05/30/2014 A 13,881(4) (4) 02/17/2021 Common Stock 13,881 $0 13,881 D
Common Stock (Right to Purchase) $18.29(3) 05/30/2014 A 23,135(5) (5) 02/16/2022 Common Stock 23,135 $0 37,016 D
Common Stock (Right to Purchase) $17.34(3) 05/30/2014 A 18,508(6) (6) 02/19/2023 Common Stock 18,508 $0 55,524 D
Common Stock (Right to Purchase) $21.7(3) 05/30/2014 A 18,508(7) (7) 02/19/2024 Common Stock 18,508 $0 74,032 D
Explanation of Responses:
1. Adjusted distribution resulting from the spin-off of the Issuer from Oil States International, Inc. on May 30, 2014 (the "Spin-Off"). Amounts reported in this row are estimated as of June 2, 2014 based on preliminary information regarding the Spin-Off. Final amounts, if different, will be reported in a subsequent filing.
2. Restricted common stock under the 2014 Equity Participation Plan of Civeo Corporation that vests in equal installments on each of the first four anniversaries of May 30, 2014.
3. Adjusted exercise price resulting from the Spin-Off. Exercise price and amounts reported in this row are estimated as of June 2, 2014 based on preliminary information regarding the Spin-Off. Final amounts, if different, will be reported in a subsequent filing.
4. Adjusted common stock option resulting from the Spin-Off that vests equally over the four year period beginning February 17, 2012.
5. Adjusted common stock option resulting from the Spin-Off that vests equally over the four year period beginning February 16, 2013.
6. Adjusted common stock option resulting from the Spin-Off that vests equally over the four year period beginning February 19, 2014.
7. Adjusted common stock option resulting from the Spin-Off that vests equally over the four year period beginning February 19, 2015.
Remarks:
President and Chief Executive Officer
/s/ Bradley J. Dodson 06/03/2014
** 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).
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