0001562762-19-000230.txt : 20190822
0001562762-19-000230.hdr.sgml : 20190822
20190822164110
ACCESSION NUMBER: 0001562762-19-000230
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20190820
FILED AS OF DATE: 20190822
DATE AS OF CHANGE: 20190822
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mitchell Valerie A
CENTRAL INDEX KEY: 0001608353
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38071
FILM NUMBER: 191046470
MAIL ADDRESS:
STREET 1: 4 WATERWAY SQUARE PLACE
STREET 2: SUITE 100
CITY: THE WOODLANDS
STATE: TX
ZIP: 77380
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: TX
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
3
1
certent-form3.xml
FORM 3 SUBMISSION
X0206
3
2019-08-20
1
0001692427
NCS Multistage Holdings, Inc.
NCSM
0001608353
Mitchell Valerie A
C/O NCS MULTISTAGE HOLDINGS, INC.
19450 STATE HIGHWAY 249, SUITE 200
HOUSTON
TX
77070
1
0
0
0
See Exhibit 24.1 - Power of Attorney.
/s/ Kevin Trautner, attorney-in-fact
2019-08-22
EX-24
2
exhibit24.txt
EXHIBIT 24.1 - POWER OF ATTORNEY
POWER OF ATTORNEY
August 20, 2019
Know all by these present, that the undersigned hereby constitutes
and appoints Kevin Trautner and Ori Lev, or any one of them signing singly,
and with full power of substitution, the undersigned's true and lawful
attorney-in-fact to:
(1) execute for and on behalf of the undersigned, in the undersigned's
capacity as an officer and/or director of NCS Multistage Holdings, Inc.
(the "Company") or as a stockholder of the Company or as a trustee of a
stockholder of the Company, Forms 3, 4, and 5 and Schedules 13D or 13G,
including amendments thereto, relating to the securities of the Company
in accordance with Section 16(a) of the Securities Exchange Act of 1934
and the rules thereunder;
(2) do and perform any and all acts for and on behalf of the undersigned
which may be necessary or desirable to complete and execute any such Form 3,
4, or 5 or Schedule 13D or 13G, complete and execute any amendment or
amendments thereto, and timely file such form with the United States
Securities and Exchange Commission and any stock exchange or similar
authority; and
(3) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of benefit
to, in the best interest of, or legally required by, the undersigned, it
being understood that the documents executed by such attorney-in-fact on
behalf of the undersigned pursuant to this Power of Attorney shall be in
such form and shall contain such terms and conditions as such
attorney-in-fact may approve in such attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full
power and authority to do and perform any and every act and thing
whatsoever requisite, necessary, or proper to be done in the exercise
of any of the rights and powers herein granted, as fully to all intents
and purposes as the undersigned might or could do if personally present,
with full power of substitution or revocation, hereby ratifying and
confirming all that such attorney-in-fact, or such attorney-in-fact's
substitute or substitutes, shall lawfully do or cause to be done by
virtue of this Power of Attorney and the rights and powers herein
granted. The undersigned acknowledges that the foregoing
attorneys-in-fact, in serving in such capacity at the
request of the undersigned, are not assuming, nor is
the Company assuming, any of the undersigned's responsibilities to
comply with, or liabilities that may arise under, Section 16 of the
Securities Exchange Act of 1934.
This Power of Attorney shall remain in full force and effect
until the undersigned is no longer required to file Forms 3, 4, and 5 or
Schedules 13D or 13G with respect to the undersigned's holdings of
and transactions in securities issued by the Company, unless earlier
revoked by the undersigned in a signed writing delivered to the foregoing
attorneys-in-fact.
This Power of Attorney shall not revoke any powers of attorney
previously executed by the undersigned. This Power of Attorney shall
not be revoked by any subsequent power of attorney that the undersigned
may execute, unless such subsequent power of attorney specifically provides
that it revokes this Power of Attorney by referring to the date of the
undersigned's execution of this Power of Attorney.
[The remainder of this page has been intentionally left blank]
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney
to be executed as of the day and year first above written.
/s/ Valerie Mitchell
Signature
Valerie Mitchell
Printed Name
[Signature Page to Power of Attorney]