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