0001437749-14-021703.txt : 20141205 0001437749-14-021703.hdr.sgml : 20141205 20141205140107 ACCESSION NUMBER: 0001437749-14-021703 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141204 FILED AS OF DATE: 20141205 DATE AS OF CHANGE: 20141205 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NV5 Holdings, Inc. CENTRAL INDEX KEY: 0001532961 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS BUSINESS SERVICES [7380] IRS NUMBER: 453458017 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 200 SOUTH PARK ROAD STREET 2: SUITE 350 CITY: HOLLYWOOD STATE: FL ZIP: 33021 BUSINESS PHONE: (954) 495-2112 MAIL ADDRESS: STREET 1: 200 SOUTH PARK ROAD STREET 2: SUITE 350 CITY: HOLLYWOOD STATE: FL ZIP: 33021 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Liss Jeffrey A. CENTRAL INDEX KEY: 0001572737 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35849 FILM NUMBER: 141268880 MAIL ADDRESS: STREET 1: 200 SOUTH PARK ROAD, SUITE 350 CITY: HOLLYWOOD STATE: FL ZIP: 33021 4 1 rdgdoc.xml FORM 4 - LISS X0306 4 2014-12-04 0001532961 NV5 Holdings, Inc. NVEE 0001572737 Liss Jeffrey A. 200 SOUTH PARK RD. SUITE 350 HOLLYWOOD FL 33021 1 Common Stock 2014-12-04 4 P 0 500 13.65 A 12500 I Nancy J. Liss Revocable Trust dated 12/14/1999 Common Stock 2014-12-04 4 P 0 500 13.61 A 13000 I Nancy J. Liss Revocable Trust dated 12/14/1999 Common Stock 4836 D Jeffrey Liss is a trustee of the Nancy J. Liss Revocable Trust, dated 12/14/1999. Mr. Liss disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. /s/ MaryJo O'Brien, as attorney in fact 2014-12-05