0001562762-23-000100.txt : 20230303 0001562762-23-000100.hdr.sgml : 20230303 20230303174912 ACCESSION NUMBER: 0001562762-23-000100 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230302 FILED AS OF DATE: 20230303 DATE AS OF CHANGE: 20230303 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Nipper Robert CENTRAL INDEX KEY: 0001701187 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38071 FILM NUMBER: 23706265 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 2023-03-02 0001692427 NCS Multistage Holdings, Inc. NCSM 0001701187 Nipper Robert C/O NCS MULTISTAGE HOLDINGS, INC. 19350 STATE HIGHWAY 249, SUITE 600 HOUSTON TX 77070 1 0 0 0 Common Stock 2023-03-02 4 A 0 5153 0 A 30224 D Common Stock 91743 I By Family Limited Partnership Includes 6,777 restricted stock units which vest on February 28, 2024 and 3,570 restricted stock units which vest in two equal annual installments beginning on February 28, 2024. These securities are held by the Nipper Family Limited Partnership, a limited partnership of which the Reporting Person is the trustee of the sole general partner, Nipper Family Management Trust. The Reporting Person disclaims beneficial ownership of the Issuer's securities held by the Nipper Family Limited Partnership except to the extent of his pecuniary interest therein. /s/ Ori Lev, attorney-in-fact 2023-03-03