0001104659-22-072021.txt : 20220616
0001104659-22-072021.hdr.sgml : 20220616
20220616184750
ACCESSION NUMBER: 0001104659-22-072021
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220616
FILED AS OF DATE: 20220616
DATE AS OF CHANGE: 20220616
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SPITTLER ADAM PAUL
CENTRAL INDEX KEY: 0001910657
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40147
FILM NUMBER: 221021821
MAIL ADDRESS:
STREET 1: C/O QUALTEK SERVICES INC.
STREET 2: 475 SENTRY PARKWAY E, SUITE 200
CITY: BLUE BELL
STATE: PA
ZIP: 19422
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: QualTek Services Inc.
CENTRAL INDEX KEY: 0001839412
STANDARD INDUSTRIAL CLASSIFICATION: WATER, SEWER, PIPELINE, COMM AND POWER LINE CONSTRUCTION [1623]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 888 SAN CLEMENTE DRIVE, SUITE 400
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
BUSINESS PHONE: 949-887-0331
MAIL ADDRESS:
STREET 1: 888 SAN CLEMENTE DRIVE, SUITE 400
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
FORMER COMPANY:
FORMER CONFORMED NAME: Roth CH Acquisition III Co
DATE OF NAME CHANGE: 20210107
4
1
tm2218747-1_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2022-06-16
0
0001839412
QualTek Services Inc.
QTEK
0001910657
SPITTLER ADAM PAUL
C/O QUALTEK SERVICES, INC.
475 SENTRY PARKWAY E, SUITE 200
BLUE BELL
PA
19422
0
1
0
0
Chief Financial Officer
Class A Common Stock
2022-06-16
4
P
0
7250
1.50
A
7250
D
/s/ Adam Spittler
2022-06-16