0001562762-18-000018.txt : 20180116 0001562762-18-000018.hdr.sgml : 20180116 20180116181403 ACCESSION NUMBER: 0001562762-18-000018 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180112 FILED AS OF DATE: 20180116 DATE AS OF CHANGE: 20180116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bitter Wade CENTRAL INDEX KEY: 0001699920 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38071 FILM NUMBER: 18529478 MAIL ADDRESS: STREET 1: C/O NCS MULTISTAGE, LLC STREET 2: 19450 STATE HIGHWAY, SUITE 200 CITY: HOUSTON STATE: TX ZIP: 77070 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NCS Multistage Holdings, Inc. CENTRAL INDEX KEY: 0001692427 STANDARD INDUSTRIAL CLASSIFICATION: OIL, GAS FIELD SERVICES, NBC [1389] IRS NUMBER: 461527455 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 19450 STATE HIGHWAY 249 STREET 2: SUITE 200 CITY: HOUSTON STATE: TX ZIP: 77070 BUSINESS PHONE: 281-453-2222 MAIL ADDRESS: STREET 1: 19450 STATE HIGHWAY 249 STREET 2: SUITE 200 CITY: HOUSTON STATE: TX ZIP: 77070 4 1 certent-form4.xml FORM 4 SUBMISSION X0306 4 2018-01-12 0001692427 NCS Multistage Holdings, Inc. NCSM 0001699920 Bitter Wade C/O NCS MULTISTAGE HOLDINGS, INC. 19450 STATE HIGHWAY 249, SUITE 200 HOUSTON TX 77070 0 1 0 0 CAO & Treasurer Common Stock 2018-01-12 4 X 0 29500 1.24 A 40000 I By Revocable Trust Option (right to buy) 1.24 2018-01-12 4 X 0 29500 0 D 2019-02-09 Common Stock 29500 16082 I By Revocable Trust Option (right to buy) 5.88 2022-12-21 Common Stock 3609 3609 I By Revocable Trust Option (right to buy) 5.88 2022-12-21 Common Stock 5412 5412 I By Revocable Trust Option (right to buy) 5.88 2023-04-03 Common Stock 11400 11400 I By Revocable Trust Option (right to buy) 5.88 2023-04-03 Common Stock 17100 17100 I By Revocable Trust These options have vested and are exercisable. These options vest and become exercisable in three equal annual installments beginning on May 3, 2018. Consists of 9,120 vested and exercisable options and 2,280 options that become vested and exercisable on April 3, 2018. /s/ Kevin Trautner, attorney-in-fact 2018-01-16