0001213900-22-044818.txt : 20220804
0001213900-22-044818.hdr.sgml : 20220804
20220804171402
ACCESSION NUMBER: 0001213900-22-044818
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220802
FILED AS OF DATE: 20220804
DATE AS OF CHANGE: 20220804
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Carlsen James
CENTRAL INDEX KEY: 0001854934
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38186
FILM NUMBER: 221137722
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
2022-08-02
0
0001709682
Custom Truck One Source, Inc.
CTOS
0001854934
Carlsen James
7701 INDEPENDENCE AVE
KANSAS CITY
MO
64125
0
1
0
0
CIO
Restricted Stock Unit
2022-08-02
4
A
0
55000
0
A
Common Stock
55000
55000
D
Performance Stock Unit
2022-08-02
4
A
0
27500
0
A
Common Stock
27500
27500
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, 2024.
Each performance stock unit represents a contingent right to receive one share of the Issuer's common stock. The performance stock units will vest if the volume weighted average price per share of the Issuer's common stock achieves certain thresholds over the applicable performance period.
By: /s/ Adam Haubenreich, Attorney-in-fact
2022-08-04