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