SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
DANNER ERNIE L

(Last) (First) (Middle)
2001 KIRBY DRIVE, SUITE 200

(Street)
HOUSTON TX 77019

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/18/2018
3. Issuer Name and Ticker or Trading Symbol
Nine Energy Service, Inc. [ NINE ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 9,028 D
Common Stock 1,199(1) D
Common Stock 4,161 I By Autumn Plecher, LP(2)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (right to buy) (3) 03/20/2027 Common Stock 2,997 $250.27 D
Explanation of Responses:
1. These shares of restricted stock will vest on March 20, 2020.
2. Represents 4,161 shares of common stock held by Autumn Plecher, LP, which Mr. Danner owns 100%.
3. These stock options become exercisable as to 1/3 on March 20, 2018, 1/3 on March 20, 2019 and 1/3 on March 20, 2020.
Remarks:
This Form 3 is being filed in connection with the effectiveness of the Registration Statement on Form S-1 (Registration No. 333-217601) of Nine Energy Service, Inc. See attached for Exhibit 24 - Power of Attorney.
/s/ Ernie L. Danner by Theodore R. Moore, as Attorney-in-fact 01/18/2018
** 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 5 (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).
Note: 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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