0001213900-22-018279.txt : 20220405 0001213900-22-018279.hdr.sgml : 20220405 20220405201115 ACCESSION NUMBER: 0001213900-22-018279 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220401 FILED AS OF DATE: 20220405 DATE AS OF CHANGE: 20220405 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ross Fredrick M. Jr. CENTRAL INDEX KEY: 0001851369 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38186 FILM NUMBER: 22809069 MAIL ADDRESS: STREET 1: C/O NESCO HOLDINGS, INC. STREET 2: 6714 POINTE INVERNESS WAY, SUITE 220 CITY: FORT WAYNE STATE: IN ZIP: 46804 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Custom Truck One Source, Inc. CENTRAL INDEX KEY: 0001709682 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-EQUIPMENT RENTAL & LEASING, NEC [7359] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 7701 INDEPENDENCE AVENUE CITY: KANSAS CITY STATE: MO ZIP: 64125 BUSINESS PHONE: (816) 241-4888 MAIL ADDRESS: STREET 1: 7701 INDEPENDENCE AVENUE CITY: KANSAS CITY STATE: MO ZIP: 64125 FORMER COMPANY: FORMER CONFORMED NAME: NESCO HOLDINGS, INC. DATE OF NAME CHANGE: 20190730 FORMER COMPANY: FORMER CONFORMED NAME: Capitol Investment Corp. IV DATE OF NAME CHANGE: 20170619 4 1 ownership.xml X0306 4 2022-04-01 0 0001709682 Custom Truck One Source, Inc. CTOS 0001851369 Ross Fredrick M. Jr. 7701 INDEPENDENCE AVE KANSAS CITY MO 64125 1 1 0 0 Chief Executive Officer Common Stock 2022-04-01 4 M 0 87500 0 A 87500 D Common Stock 2022-04-01 4 F 0 27602 8.34 D 59898 D Common Stock 2000000 I By Frederick M. Ross, Jr. Holding Company, LLC Restricted Stock Unit 2022-04-01 4 M 0 87500 0 D Common Stock 87500 262500 D Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock. The restricted stock units vest in four equal annual installments beginning on April 1, 2022. By: /s/ Adam Haubenreich, Attorney-in-fact 2022-04-05