0001213900-23-027273.txt : 20230404
0001213900-23-027273.hdr.sgml : 20230404
20230404202055
ACCESSION NUMBER: 0001213900-23-027273
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230401
FILED AS OF DATE: 20230404
DATE AS OF CHANGE: 20230404
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: 23800782
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
X0407
4
2023-04-01
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
0
Common Stock
2023-04-01
4
M
0
87500
0
A
172822
D
Common Stock
2023-04-01
4
F
0
38772
6.79
D
134050
D
Common Stock
2000000
I
By Frederick M. Ross, Jr. Holding Company, LLC
Restricted Stock Unit
2023-04-01
4
M
0
87500
0
D
Common Stock
87500
175000
D
Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock.
Shares withheld to satisfy tax obligations arising out of vesting of the Reporting Person's performance stock units.
The restricted stock units vest in four equal annual installments beginning on April 1, 2022.
By: /s/ Adam Haubenreich, Attorney-in-fact
2023-04-04