FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
NCS Multistage Holdings, Inc. [ NCSM ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 08/10/2018 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 08/10/2018 | X | 6,082 | A | $1.24 | 46,082 | I | By Revocable Trust | ||
Common Stock | 08/10/2018 | S | 6,082 | D | $16.3(1) | 40,000 | I | By Revocable Trust | ||
Common Stock | 08/13/2018 | X | 6,668 | A | $1.24 | 46,668 | I | By Revocable Trust | ||
Common Stock | 08/13/2018 | S | 6,668 | D | $16.25(2) | 40,000 | I | By Revocable Trust | ||
Common Stock | 10,602(3) | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Option (right to buy) | $1.24 | 08/10/2018 | X | 6,082 | (4) | 02/09/2019 | Common Stock | 6,082 | $0 | 10,000 | I | By Revocable Trust | |||
Option (right to buy) | $1.24 | 08/13/2018 | X | 6,668 | (4) | 02/09/2019 | Common Stock | 6,668 | $0 | 3,332 | I | By Revocable Trust | |||
Option (right to buy) | $5.88 | (5) | 12/21/2022 | Common Stock | 9,021 | 9,021 | I | By Revocable Trust | |||||||
Option (right to buy) | $5.88 | (6) | 04/03/2023 | Common Stock | 28,500 | 28,500 | I | By Revocable Trust |
Explanation of Responses: |
1. The price reported is a weighted average price. These shares were sold in multiple transactions at prices ranging from $16.25 to $16.65. The reporting person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnotes (1) and (2) to this Form 4. |
2. The price reported is a weighted average price. These shares were sold in multiple transactions at prices ranging from $16.15 to $16.40. |
3. Includes 10,602 restricted stock units which vest in three equal annual installments beginning on March 1, 2019. |
4. These options have vested and are exercisable. |
5. Includes 5,413 vested and exercisable options and 3,608 options that vest and become exercisable in two equal annual installments beginning on May 3, 2019. |
6. Includes 17,100 vested and exercisable options and 11,400 options that vest and become exercisable in two equal annual installments beginning on May 3, 2019. |
/s/ Kevin Trautner, attorney-in-fact | 08/14/2018 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |