0001213900-21-036550.txt : 20210712
0001213900-21-036550.hdr.sgml : 20210712
20210712163342
ACCESSION NUMBER: 0001213900-21-036550
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210708
FILED AS OF DATE: 20210712
DATE AS OF CHANGE: 20210712
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Rich Thomas R.
CENTRAL INDEX KEY: 0001854514
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38186
FILM NUMBER: 211085886
MAIL ADDRESS:
STREET 1: C/O NESCO HOLDINGS, INC.
STREET 2: 6714 POINTE INVERNESS WAY, SUITE 220
CITY: FORT WAYNE
STATE: IN
ZIP: 46804
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
2021-07-08
0
0001709682
Custom Truck One Source, Inc.
CTOS
0001854514
Rich Thomas R.
7701 INDEPENDENCE AVE
KANSAS CITY
MO
64125
0
1
0
0
EVP - Rentals
Restricted Stock Unit
2021-07-08
4
A
0
100000
0
A
Common Stock
100000
100000
D
Performance Stock Unit
2021-07-08
4
A
0
100000
0
A
Common Stock
100000
100000
D
Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock.
The restricted stock units vest in four equal annual installments beginning on April 1, 2022.
Each performance stock unit represents a contingent right to receive one share of the Issuer's common stock. The performance stock units will vest if the volume weighted average price per share of the Issuer's common stock achieves certain thresholds over the performance period ending December 31, 2024.
By: /s/ Adam Haubenreich, Attorney-in-fact
2021-07-12