0001562762-21-000067.txt : 20210301
0001562762-21-000067.hdr.sgml : 20210301
20210301132617
ACCESSION NUMBER: 0001562762-21-000067
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210228
FILED AS OF DATE: 20210301
DATE AS OF CHANGE: 20210301
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DEANE JOHN D
CENTRAL INDEX KEY: 0001236472
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38071
FILM NUMBER: 21696499
MAIL ADDRESS:
STREET 1: 1330 POST OAK BLVD
STREET 2: STE 2700
CITY: HOUSTON
STATE: TX
ZIP: 77056
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: 19350 STATE HIGHWAY 249
STREET 2: SUITE 600
CITY: HOUSTON
STATE: TX
ZIP: 77070
BUSINESS PHONE: 281-453-2222
MAIL ADDRESS:
STREET 1: 19350 STATE HIGHWAY 249
STREET 2: SUITE 600
CITY: HOUSTON
STATE: TX
ZIP: 77070
4
1
certent-form4.xml
FORM 4 SUBMISSION
X0306
4
2021-02-28
0001692427
NCS Multistage Holdings, Inc.
NCSM
0001236472
DEANE JOHN D
C/O NCS MULTISTAGE HOLDINGS, INC.
19350 STATE HIGHWAY 249, SUITE 600
HOUSTON
TX
77070
1
0
0
0
Common Stock
2021-02-28
4
A
0
3454
0
A
12959
D
Common Stock
10731
I
By Family Partners Limited
Includes 794 vested restricted stock units which settle within thirty days following the earliest of (i) one year following the termination of the Reporting Person's service for any reason other than cause, (ii) a change of control or (iii) the fifth anniversary of the grant date. Also, includes 3,454 restricted stock units which vest on February 28, 2022 and settle within thirty days of the vesting date.
These securities are held by the Deane Family Partnership Limited, a limited partnership of which the Reporting Person is the sole general partner. The Reporting Person disclaims beneficial ownership of the Issuer's securities held by the Deane Family Partnership Limited except to the extent of his pecuniary interest therein.
/s/ Ori Lev, attorney-in-fact
2021-03-01