0001562762-22-000103.txt : 20220304 0001562762-22-000103.hdr.sgml : 20220304 20220304102137 ACCESSION NUMBER: 0001562762-22-000103 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220302 FILED AS OF DATE: 20220304 DATE AS OF CHANGE: 20220304 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LEV ORI CENTRAL INDEX KEY: 0001811682 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38071 FILM NUMBER: 22712407 MAIL ADDRESS: STREET 1: 3817 BROWNING STREET CITY: HOUSTON STATE: TX ZIP: 77005 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: DE 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 2022-03-02 0001692427 NCS Multistage Holdings, Inc. NCSM 0001811682 LEV ORI C/O NCS MULTISTAGE HOLDINGS, INC. 19350 STATE HIGHWAY 249, SUITE 600 HOUSTON TX 77070 0 1 0 0 Executive VP, GC and Secretary Common Stock 2022-03-02 4 A 0 1786 0 A 4356 D Equivalent Stock Units 2022-03-02 4 A 0 1786 0 A Common Stock 1786 4095 D Includes 113 restricted stock units which vest on April 1, 2022, 1,196 restricted stock units which vest in two equal annual installments beginning on February 28, 2023 and 1,786 restricted stock units which vest in three equal annual installments beginning on February 28, 2023. These equivalent stock units settle in cash and represent the economic equivalent of one share of common stock, provided that the amount of cash settled for any equivalent stock unit will not exceed the maximum payout established by the Compensation, Nominating and Governance Committee. Includes 113 equivalent stock units which vest on April 1, 2022, 1,000 equivalent stock units which on February 28, 2023, 1,196 equivalent stock units which vest in two equal annual installments beginning on February 28, 2023 and 1,786 equivalent stock units which vest in three equal annual installments beginning on February 28, 2023. /s/ Ori Lev 2022-03-04