0001213900-24-000879.txt : 20240103
0001213900-24-000879.hdr.sgml : 20240103
20240103172242
ACCESSION NUMBER: 0001213900-24-000879
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231231
FILED AS OF DATE: 20240103
DATE AS OF CHANGE: 20240103
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Carlsen James
CENTRAL INDEX KEY: 0001854934
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38186
FILM NUMBER: 24508232
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]
ORGANIZATION NAME: 07 Trade & Services
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
X0508
4
2023-12-31
0
0001709682
Custom Truck One Source, Inc.
CTOS
0001854934
Carlsen James
7701 INDEPENDENCE AVE
KANSAS CITY
MO
64125
0
1
0
0
CIO
0
Common Stock
2023-12-31
4
M
0
2906
0
A
59130
D
Common Stock
2023-12-31
4
F
0
793
6.18
D
58337
D
Performance Stock Unit
2023-12-31
4
M
0
1453
0
D
Common Stock
1453
13859
D
Performance Stock Unit
2023-12-31
4
M
0
1453
0
D
Common Stock
1453
13859
D
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.
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.
By: /s/ James Carlsen
2024-01-03