0001562762-19-000232.txt : 20190822 0001562762-19-000232.hdr.sgml : 20190822 20190822164730 ACCESSION NUMBER: 0001562762-19-000232 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190820 FILED AS OF DATE: 20190822 DATE AS OF CHANGE: 20190822 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mitchell Valerie A CENTRAL INDEX KEY: 0001608353 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38071 FILM NUMBER: 191046496 MAIL ADDRESS: STREET 1: 4 WATERWAY SQUARE PLACE STREET 2: SUITE 100 CITY: THE WOODLANDS STATE: TX ZIP: 77380 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: 19450 STATE HIGHWAY 249 STREET 2: SUITE 200 CITY: HOUSTON STATE: TX ZIP: 77070 BUSINESS PHONE: 281-453-2222 MAIL ADDRESS: STREET 1: 19450 STATE HIGHWAY 249 STREET 2: SUITE 200 CITY: HOUSTON STATE: TX ZIP: 77070 4 1 certent-form4.xml FORM 4 SUBMISSION X0306 4 2019-08-20 0001692427 NCS Multistage Holdings, Inc. NCSM 0001608353 Mitchell Valerie A C/O NCS MULTISTAGE HOLDINGS, INC. 19450 STATE HIGHWAY 249, SUITE 200 HOUSTON TX 77070 1 0 0 0 Common Stock 2019-08-20 4 A 0 69142 0 A 69142 D Includes 21,749 restricted stock units which vest on August 20, 2020 and 47,393 which vest in three equal annual installments beginning on August 20, 2020 and all of which settle within thirty days following the earlier of (i) the termination of the Reporting Person's service for any reason or (ii) a change of control. /s/ Kevin Trautner, attorney-in-fact 2019-08-22