0001213900-22-018276.txt : 20220405 0001213900-22-018276.hdr.sgml : 20220405 20220405200917 ACCESSION NUMBER: 0001213900-22-018276 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220401 FILED AS OF DATE: 20220405 DATE AS OF CHANGE: 20220405 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NELSON GEORGIA R CENTRAL INDEX KEY: 0001141392 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38186 FILM NUMBER: 22809063 MAIL ADDRESS: STREET 1: C/O TOWER AUTOMOTIVE INC STREET 2: 27175 HAGGERTY ROAD CITY: NOVI STATE: MI ZIP: 48377-3626 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Custom Truck One Source, Inc. CENTRAL INDEX KEY: 0001709682 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-EQUIPMENT RENTAL & LEASING, NEC [7359] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 7701 INDEPENDENCE AVENUE CITY: KANSAS CITY STATE: MO ZIP: 64125 BUSINESS PHONE: (816) 241-4888 MAIL ADDRESS: STREET 1: 7701 INDEPENDENCE AVENUE CITY: KANSAS CITY STATE: MO ZIP: 64125 FORMER COMPANY: FORMER CONFORMED NAME: NESCO HOLDINGS, INC. DATE OF NAME CHANGE: 20190730 FORMER COMPANY: FORMER CONFORMED NAME: Capitol Investment Corp. IV DATE OF NAME CHANGE: 20170619 4 1 ownership.xml X0306 4 2022-04-01 0 0001709682 Custom Truck One Source, Inc. CTOS 0001141392 NELSON GEORGIA R 7701 INDEPENDENCE AVE KANSAS CITY MO 64125 1 0 0 0 Common Stock 2022-04-01 4 M 0 13631 0 A 38631 D Restricted Stock Unit 2022-04-01 4 M 0 13631 0 D Common Stock 13631 0 D Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock. The restricted stock units vested in full on April 1, 2022. By: /s/ Adam Haubenreich, Attorney-in-fact 2022-04-05