0001213900-23-027291.txt : 20230404 0001213900-23-027291.hdr.sgml : 20230404 20230404204342 ACCESSION NUMBER: 0001213900-23-027291 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210318 FILED AS OF DATE: 20230404 DATE AS OF CHANGE: 20230404 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BARRETT RAYMOND TODD CENTRAL INDEX KEY: 0001785100 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38186 FILM NUMBER: 23800865 MAIL ADDRESS: STREET 1: 6714 POINT INVERNESS WAY STREET 2: STE 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 2021-03-18 0 0001709682 Custom Truck One Source, Inc. CTOS 0001785100 BARRETT RAYMOND TODD 7701 INDEPENDENCE AVE KANSAS CITY MO 64125 0 1 0 0 Chief Accounting Officer 0 Common Stock 2021-03-18 4 M 0 1667 0 A 11070 D Common Stock 2022-03-18 4 M 0 1667 0 A 12737 D Common Stock 2022-12-31 4 M 0 3126 0 A 15863 D Common Stock 2022-12-31 4 F 0 706 6.32 D 15157 D Common Stock 2023-03-18 4 M 0 1667 0 A 16824 D Common Stock 2023-03-18 4 F 0 453 6.54 D 16371 D Common Stock 2023-04-01 4 M 0 6250 0 A 22621 D Common Stock 2023-04-01 4 F 0 1846 6.79 D 20775 D Restricted Stock Unit 2021-03-18 4 M 0 1667 0 D Common Stock 1667 5000 D Restricted Stock Unit 2022-03-18 4 M 0 1667 0 D Common Stock 1667 3333 D Performance Stock Unit 2022-12-31 4 M 0 2188 0 D Common Stock 2188 15312 D Performance Stock Unit 2022-12-31 4 M 0 938 0 D Common Stock 938 6562 D Restricted Stock Unit 2023-03-18 4 M 0 1667 0 D Common Stock 1667 1666 D Restricted Stock Unit 2023-04-01 4 M 0 6250 0 D Common Stock 6250 12500 D Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock. Each performance 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 March 18, 2021. Each performance stock unit represents a contingent right to receive one share of the Issuer's common stock. The performance stock units will vest based on the attainment of certain performance conditions. 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