SEC Form 4 · accession 0001562762-19-000063
NCS Multistage Holdings, Inc. · NCSM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Tim Willems
Officer — Chief Operations Officer
Period of report
Feb 28, 2019
Accepted (ET)
Mar 4, 2019 · 4:22 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001692427
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Feb 28, 2019 | A | 43,574 | $0.00 | A | 68,405 | D | |
| Common StockF3,F1,F2 | Mar 1, 2019 | F | 2,231 | $5.41 | D | 66,174 | D | |
| Common StockF4 | holding | — | — | — | 547,259 | I | By Family Limited Partnership |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Equivalent Stock UnitsF5,F6 | — | Feb 28, 2019 | A | 14,525 | A | — | — | Common Stock | 14,525 | 14,525 | D |
Explanation of responses
- F1Includes 15,048 restricted stock units which vest in two equal annual installments beginning on March 1, 2020 and 43,574 restricted stock units which vest in three equal annual installments beginning on February 28, 2020.
- F2Includes 2,259 shares acquired under the Issuer's employee stock purchase plan on December 31, 2018.
- F3These shares were surrendered to satisfy the tax obligations related to the vesting of restricted stock units.
- F4These securities are held by the Willems Family Limited Partnership, a limited partnership of which the Reporting Person and his spouse are co-trustees of the sole general partner, Willems Family Management Trust. The Reporting Person disclaims beneficial ownership of the Issuer's securities held by the Willems Family Limited Partnership except to the extent of his pecuniary interest therein.
- F5These 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 two times the common stock price on the day before the date of grant.
- F6Vest in in three equal annual installments beginning on February 28, 2020.