0001209191-23-043349.txt : 20230725
0001209191-23-043349.hdr.sgml : 20230725
20230725191153
ACCESSION NUMBER: 0001209191-23-043349
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230721
FILED AS OF DATE: 20230725
DATE AS OF CHANGE: 20230725
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jacobs Justin
CENTRAL INDEX KEY: 0001464667
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-31398
FILM NUMBER: 231109775
MAIL ADDRESS:
STREET 1: 382 GREENWICH AVE
STREET 2: SUITE ONE
CITY: GREENWICH
STATE: CT
ZIP: 06830
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: NATURAL GAS SERVICES GROUP INC
CENTRAL INDEX KEY: 0001084991
STANDARD INDUSTRIAL CLASSIFICATION: OIL, GAS FIELD SERVICES, NBC [1389]
IRS NUMBER: 752811855
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 404 VETERANS AIRPARK LANE
STREET 2: SUITE 300
CITY: MIDLAND
STATE: TX
ZIP: 79705
BUSINESS PHONE: (432) 262-2700
MAIL ADDRESS:
STREET 1: 404 VETERANS AIRPARK LANE
STREET 2: SUITE 300
CITY: MIDLAND
STATE: TX
ZIP: 79705
4
1
doc4.xml
FORM 4 SUBMISSION
X0508
4
2023-07-21
0
0001084991
NATURAL GAS SERVICES GROUP INC
NGS
0001464667
Jacobs Justin
334 PEMBERWICK ROAD
GREENWICH
CT
06831
1
0
0
0
0
Common Stock
2023-07-21
4
X
0
9100
15.00
A
921508
I
See footnote
Common Stock
9470
D
Put Option (obligation to buy)
15.00
2023-07-21
4
X
0
91
0.00
D
2022-11-30
2023-07-21
Common Stock
9100
0
I
See footnote
The shares reported are directly held by Mill Road Capital III, L.P. (the "Fund"). The Reporting Person is a management committee director of Mill Road Capital III GP LLC (the "GP"), which is the sole general partner of the Fund and has sole authority to vote (or direct the vote of), and to dispose (or direct the disposal) of, these shares on behalf of the Fund. The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein, if any.
/s/ Justin C. Jacobs
2023-07-25