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