0001213900-24-000885.txt : 20240103 0001213900-24-000885.hdr.sgml : 20240103 20240103172655 ACCESSION NUMBER: 0001213900-24-000885 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: BARRETT RAYMOND TODD CENTRAL INDEX KEY: 0001785100 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38186 FILM NUMBER: 24508283 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] 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 0001785100 BARRETT RAYMOND TODD 7701 INDEPENDENCE AVE KANSAS CITY MO 64125 0 1 0 0 Chief Accounting Officer 0 Common Stock 2023-12-31 4 M 0 2076 0 A 22861 D Common Stock 2023-12-31 4 F 0 654 6.18 D 22207 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 0 623 0 D Common Stock 623 5939 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/ Raymond Todd Barrett 2024-01-03