0001562762-23-000070.txt : 20230302 0001562762-23-000070.hdr.sgml : 20230302 20230302165905 ACCESSION NUMBER: 0001562762-23-000070 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230228 FILED AS OF DATE: 20230302 DATE AS OF CHANGE: 20230302 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Willems Tim CENTRAL INDEX KEY: 0001699916 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38071 FILM NUMBER: 23700036 MAIL ADDRESS: STREET 1: C/O NCS MULTISTAGE, LLC STREET 2: 19450 STATE HIGHWAY 249, SUITE 200 CITY: HOUSTON STATE: TX ZIP: 77070 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 2023-02-28 0001692427 NCS Multistage Holdings, Inc. NCSM 0001699916 Willems Tim C/O NCS MULTISTAGE HOLDINGS, INC. 19350 STATE HIGHWAY 249, SUITE 600 HOUSTON TX 77070 0 1 0 0 Chief Operations Officer Common Stock 2023-02-28 4 M 0 2423 0 A 20752 D Common Stock 2023-02-28 4 F 0 2423 23.84 D 18329 D Common Stock 2023-02-28 4 D 0 240 23.84 D 18089 D Equivalent Stock Units 2023-02-28 4 M 0 2423 0 D Common Stock 2423 2033 D Equivalent stock units vested on February 28, 2023 and settled for cash. These shares were surrendered to satisfy the tax obligations related to the vesting of restricted stock units. Includes 562 restricted stock units which vest on February 28, 2024 and 1,471 restricted stock units which vest in two equal annual installments beginning on February 28, 2024. Since the date of Mr. Willem's last ownership report, he dissolved the Willems Family Limited Partnership and transferred 15,274 shares of NCSM common stock, 2,190 equivalent stock units, of which 1,735 vested on February 28, 2023, and 1,067 restricted stock units, of which 612 vested on February 28, 2023, to his ex-wife pursuant to a domestic relations order (as defined in the Internal Revenue Code). The Reporting Person no longer reports as beneficially owned any securities owned by his ex-wife. These equivalent stock units settle in cash and represent the economic equivalent of one share of common stock, provided that the amount of cash settled for any equivalent stock unit will not exceed the maximum payout established by the Compensation, Nominating and Governance Committee. Includes 562 equivalent stock units which vest on February 28, 2024 and 1,471 equivalent stock units which vest in two equal annual installments beginning on February 28, 2024. /s/ Ori Lev, attorney-in-fact 2023-03-02