0001209191-23-028851.txt : 20230511 0001209191-23-028851.hdr.sgml : 20230511 20230511185114 ACCESSION NUMBER: 0001209191-23-028851 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230509 FILED AS OF DATE: 20230511 DATE AS OF CHANGE: 20230511 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jacobs Justin CENTRAL INDEX KEY: 0001464667 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31398 FILM NUMBER: 23912675 MAIL ADDRESS: STREET 1: 382 GREENWICH AVE STREET 2: SUITE ONE CITY: GREENWICH STATE: CT ZIP: 06830 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NATURAL GAS SERVICES GROUP INC CENTRAL INDEX KEY: 0001084991 STANDARD INDUSTRIAL CLASSIFICATION: OIL, GAS FIELD SERVICES, NBC [1389] IRS NUMBER: 752811855 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 404 VETERANS AIRPARK LANE STREET 2: SUITE 300 CITY: MIDLAND STATE: TX ZIP: 79705 BUSINESS PHONE: (432) 262-2700 MAIL ADDRESS: STREET 1: 404 VETERANS AIRPARK LANE STREET 2: SUITE 300 CITY: MIDLAND STATE: TX ZIP: 79705 4 1 doc4.xml FORM 4 SUBMISSION X0407 4 2023-05-09 0 0001084991 NATURAL GAS SERVICES GROUP INC NGS 0001464667 Jacobs Justin 334 PEMBERWICK ROAD, SECOND FLOOR GREENWICH CT 06831 1 0 0 0 0 Common Stock 912408 I See footnote Common Stock 2023-05-09 4 J 0 9470 0.00 A 9470 D The shares reported are directly held by Mill Road Capital III, L.P. (the "Fund"). The Reporting Person is a management committee director of Mill Road Capital III GP LLC (the "GP"), which is the sole general partner of the Fund and has sole authority to vote (or direct the vote of), and to dispose (or direct the disposal) of, these shares on behalf of the Fund. The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein, if any. Represents the Reporting Person's acquisition of an indirect pecuniary interest in restricted stock units ("RSUs") granted by the issuer to the Reporting Person in accordance with Rule 16b-3(d) (as described in transaction code "A") as compensation for serving as a member of the issuer's board of directors. Pursuant to a pre-existing contractual obligation, Mill Road Capital Management, LLC, an affiliate of the Reporting Person that does not have Section 13(d) beneficial ownership of any securities of the issuer, has the right to receive the economic benefit of the reported shares and, accordingly, the Reporting Person has no direct pecuniary interest in such shares. The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein, if any. /s/ Justin C. Jacobs 2023-05-11