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