0001213900-21-020216.txt : 20210405 0001213900-21-020216.hdr.sgml : 20210405 20210405200843 ACCESSION NUMBER: 0001213900-21-020216 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210401 FILED AS OF DATE: 20210405 DATE AS OF CHANGE: 20210405 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Heinberg Marshall CENTRAL INDEX KEY: 0001481338 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38186 FILM NUMBER: 21807645 MAIL ADDRESS: STREET 1: 1 CORPORATE AVENUE CITY: ROWVILLE STATE: C3 ZIP: 3178 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Custom Truck One Source, Inc. CENTRAL INDEX KEY: 0001709682 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-EQUIPMENT RENTAL & LEASING, NEC [7359] 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 X0306 4 2021-04-01 0 0001709682 Custom Truck One Source, Inc. CTOS 0001481338 Heinberg Marshall 7701 INDEPENDENCE AVE KANSAS CITY MO 64125 1 0 0 0 Common Stock 2021-04-01 4 P 0 100000 5.00 A 100000 D Common Stock 2021-04-01 4 P 0 50000 5.00 A 50000 I By Domestic Partner Restricted Stock Unit 2021-04-01 4 A 0 24537 0 A Common Stock 24537 24537 D Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock. The restricted stock units will vest on March 31, 2022 and have no expiration date. /s/ Adam Haubenreich, Attorney-in-fact 2021-04-05