0001140361-17-018471.txt : 20170504 0001140361-17-018471.hdr.sgml : 20170504 20170504165834 ACCESSION NUMBER: 0001140361-17-018471 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170503 FILED AS OF DATE: 20170504 DATE AS OF CHANGE: 20170504 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NCS Multistage Holdings, Inc. CENTRAL INDEX KEY: 0001692427 STANDARD INDUSTRIAL CLASSIFICATION: OIL, GAS FIELD SERVICES, NBC [1389] IRS NUMBER: 461527455 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 19450 STATE HIGHWAY 249 STREET 2: SUITE 200 CITY: HOUSTON STATE: TX ZIP: 77070 BUSINESS PHONE: 281-453-2222 MAIL ADDRESS: STREET 1: 19450 STATE HIGHWAY 249 STREET 2: SUITE 200 CITY: HOUSTON STATE: TX ZIP: 77070 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RALLS W MATT CENTRAL INDEX KEY: 0001180365 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38071 FILM NUMBER: 17814917 MAIL ADDRESS: STREET 1: ROWAN COMPANIES CITY: HOUSTON STATE: TX ZIP: 77002 4 1 form4.xml FORM 4 X0306 4 2017-05-03 0001692427 NCS Multistage Holdings, Inc. NCSM 0001180365 RALLS W MATT C/O NCS MULTISTAGE HOLDINGS, INC. 19450 STATE HIGHWAY 249, SUITE 200 HOUSTON TX 70070 true Common Stock 2017-05-03 4 P 0 30000 17 A 30000 D Common Stock 13234 D The shares of common stock were purchased in the Issuer's initial public offering pursuant to a directed share program. Consists of 7,352 restricted stock units which vest on April 27, 2018 and 5,882 restricted stock units which vest in three equal annual installments beginning on April 27, 2018. The restricted stock units settle for shares of common stock on a one-for-one basis within thirty days following the earliest of (i) one year following the termination of the reporting person's service for any reason other than cause, (ii) a change of control or (iii) the fifth anniversary of the grant date. /s/ Kevin Trautner, attorney-in-fact 2017-05-04