0001562762-21-000073.txt : 20210301 0001562762-21-000073.hdr.sgml : 20210301 20210301134030 ACCESSION NUMBER: 0001562762-21-000073 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210228 FILED AS OF DATE: 20210301 DATE AS OF CHANGE: 20210301 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mitchell Valerie A CENTRAL INDEX KEY: 0001608353 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38071 FILM NUMBER: 21696580 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: 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 FORM 4 SUBMISSION X0306 4 2021-02-28 0001692427 NCS Multistage Holdings, Inc. NCSM 0001608353 Mitchell Valerie A C/O NCS MULTISTAGE HOLDINGS, INC. 19350 STATE HIGHWAY 249, SUITE 600 HOUSTON TX 77070 1 0 0 0 Common Stock 2021-02-28 4 A 0 3454 0 A 11021 D Includes 5,988 vested restricted stock units, 1,579 restricted stock units which vest in two equal annual installments beginning on August 20, 2021 and 3,454 restricted stock units which vest on February 28, 2022 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 2021-03-01