0001213900-22-023696.txt : 20220503
0001213900-22-023696.hdr.sgml : 20220503
20220503170315
ACCESSION NUMBER: 0001213900-22-023696
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220429
FILED AS OF DATE: 20220503
DATE AS OF CHANGE: 20220503
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jackson Mary M.
CENTRAL INDEX KEY: 0001856953
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38186
FILM NUMBER: 22888092
MAIL ADDRESS:
STREET 1: 7799 LEESBURG PIKE
STREET 2: SUITE 300 NORTH
CITY: FALLS CHURCH
STATE: VA
ZIP: 22043
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
2022-04-29
0
0001709682
Custom Truck One Source, Inc.
CTOS
0001856953
Jackson Mary M.
7701 INDEPENDENCE AVE
KANSAS CITY
MO
64125
1
0
0
0
Restricted Stock Unit
2022-04-29
4
A
0
14315
0
A
Common Stock
14315
14315
D
Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock.
The restricted stock units will vest on March 31, 2023 and have no expiration date.
By: /s/ Adam Haubenreich, Attorney-in-fact
2022-05-03