0001213900-22-018268.txt : 20220405 0001213900-22-018268.hdr.sgml : 20220405 20220405200432 ACCESSION NUMBER: 0001213900-22-018268 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: EIN MARK CENTRAL INDEX KEY: 0001246840 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38186 FILM NUMBER: 22809054 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 0001246840 EIN MARK 7701 INDEPENDENCE AVE KANSAS CITY MO 64125 1 0 0 0 Common Stock 2022-04-01 4 M 0 13631 0 A 1013631 D Common Stock 5706286 I By Capitol Acquisition Management IV, LLC 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. Exhibit 24 - Power of Attorney By: /s/ Adam Haubenreich, Attorney-in-fact 2022-04-05