0001213900-22-049052.txt : 20220817 0001213900-22-049052.hdr.sgml : 20220817 20220817170108 ACCESSION NUMBER: 0001213900-22-049052 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220815 FILED AS OF DATE: 20220817 DATE AS OF CHANGE: 20220817 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Eperjesy Christopher J CENTRAL INDEX KEY: 0001225634 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38186 FILM NUMBER: 221174974 MAIL ADDRESS: STREET 1: 505 HIGHWAY 169 NORTH CITY: PLYMOUTH STATE: MN ZIP: 55441 FORMER NAME: FORMER CONFORMED NAME: EPERJESY CHRISTOPHER J DATE OF NAME CHANGE: 20030402 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 2022-08-15 0 0001709682 Custom Truck One Source, Inc. CTOS 0001225634 Eperjesy Christopher J 7701 INDEPENDENCE AVENUE KANSAS CITY MO 64125 0 1 0 0 Chief Financial Officer Restricted Stock Unit 2022-08-15 4 A 0 180000 0 A Common Stock 180000 180000 D Performance Stock Unit 2022-08-15 4 A 0 90000 0 A Common Stock 90000 90000 D Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock. The restricted stock units vest in four equal annual installments beginning on April 1, 2024. Each performance stock unit represents a contingent right to receive one share of the Issuer's common stock. The performance stock units will vest based on the attainment of certain performance conditions. /s/ Adam Haubenreich, Attorney-in-fact 2022-08-17