0001213900-24-024376.txt : 20240320 0001213900-24-024376.hdr.sgml : 20240320 20240320161507 ACCESSION NUMBER: 0001213900-24-024376 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240318 FILED AS OF DATE: 20240320 DATE AS OF CHANGE: 20240320 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BARRETT RAYMOND TODD CENTRAL INDEX KEY: 0001785100 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38186 FILM NUMBER: 24767961 MAIL ADDRESS: STREET 1: 6714 POINT INVERNESS WAY STREET 2: STE 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] ORGANIZATION NAME: 07 Trade & Services 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 X0508 4 2024-03-18 0 0001709682 Custom Truck One Source, Inc. CTOS 0001785100 BARRETT RAYMOND TODD 7701 INDEPENDENCE AVE KANSAS CITY MO 64125 0 1 0 0 Chief Accounting Officer 0 Common Stock 2024-03-18 4 M 0 1666 0 A 23873 D Common Stock 2024-03-18 4 F 0 457 5.37 D 23416 D Restricted Stock Unit 2024-03-18 4 M 0 1666 0 D Common Stock 1666 0 D Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock. Shares withheld to satisfy tax obligations arising out of vesting of the Reporting Person's restricted stock units. The restricted stock units vest in four equal, annual installments beginning on March 18, 2021. /s/ Raymond Todd Barrett 2024-03-20