0001562762-23-000088.txt : 20230303 0001562762-23-000088.hdr.sgml : 20230303 20230303173908 ACCESSION NUMBER: 0001562762-23-000088 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230302 FILED AS OF DATE: 20230303 DATE AS OF CHANGE: 20230303 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FITZGERALD MATTHEW D CENTRAL INDEX KEY: 0001184451 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38071 FILM NUMBER: 23706159 MAIL ADDRESS: STREET 1: 1111 BAGBY, SUITE 1600 CITY: HOUSTON STATE: TX ZIP: 77002 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: 19350 STATE HIGHWAY 249 STREET 2: SUITE 600 CITY: HOUSTON STATE: TX ZIP: 77070 BUSINESS PHONE: 281-453-2222 MAIL ADDRESS: STREET 1: 19350 STATE HIGHWAY 249 STREET 2: SUITE 600 CITY: HOUSTON STATE: TX ZIP: 77070 4 1 certent-form4.xml PRIMARY DOCUMENT X0306 4 2023-03-02 0001692427 NCS Multistage Holdings, Inc. NCSM 0001184451 FITZGERALD MATTHEW D C/O NCS MULTISTAGE HOLDINGS, INC. 19350 STATE HIGHWAY 249, SUITE 600 HOUSTON TX 77070 1 0 0 0 Common Stock 2023-03-02 4 A 0 5153 0 A 17944 D Includes 11,703 vested restricted stock units and 5,153 restricted stock units which vest on February 28, 2024 and all of which settle within thirty days following the earlier of (i) the termination of the Reporting Person's service for any reason or (ii) a change of control. /s/ Ori Lev, attorney-in-fact 2023-03-03