Sec Form 4 Filing - PLATINUM EQUITY, LLC @ Custom Truck One Source, Inc. - 2025-01-30

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
PLATINUM EQUITY, LLC
2. Issuer Name and Ticker or Trading Symbol
Custom Truck One Source, Inc. [ CTOS]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
C/O PLATINUM EQUITY ADVISORS, LLC, 360 NORTH CRESCENT DRIVE, SOUTH BUILDING
3. Date of Earliest Transaction (MM/DD/YY)
01/30/2025
(Street)
BEVERLY HILLS, CA90210
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
_____ Form filed by One Reporting Person
__ X __ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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 01/30/2025 P 8,143,635 A $ 4 156,743,635 I See Footnotes ( 1 ) ( 2 )
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 of Derivative Security: 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
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
PLATINUM EQUITY, LLC
C/O PLATINUM EQUITY ADVISORS, LLC
360 NORTH CRESCENT DRIVE, SOUTH BUILDING
BEVERLY HILLS, CA90210
X
Gores Tom
C/O PLATINUM EQUITY ADVISORS, LLC
360 NORTH CRESCENT DRIVE, SOUTH BUILDING
BEVERLY HILLS, CA90210
X
Signatures
Platinum Equity, LLC, By: /s/ Mary Ann Sigler, Executive Vice President, Chief Financial Officer and Treasurer 02/03/2025
Signature of Reporting Person Date
Tom Gores, By: /s/ Mary Ann Sigler, Attorney-in-Fact 02/03/2025
Signature of Reporting Person Date
Explanation of Responses:
( 1 )PE One Source Holdings, LLC ("PE One Source") is the record holder of the securities reported herein. Tom Gores is the manager of Platinum Equity, LLC, which is the sole member of Platinum Equity Investment Holdings, LLC, which is the sole member of Platinum Equity Investment Holdings IC (Cayman), LLC, which is the general partner of Platinum Equity InvestCo, L.P., which is the sole member of Platinum Equity Investment Holdings V, LLC, which is the sole member of Platinum Equity Partners V, LLC, which is the general partner of Platinum Equity Partners V, L.P., which is the general partner of Platinum Equity Capital Partners V, L.P., which holds a majority of the outstanding equity of PE One Source.
( 2 )Additionally, Platinum Equity, LLC is also the sole member of Platinum Equity Investment Holdings V Manager, LLC, which is the sole manager of Platinum Equity Investment Holdings V, LLC. Platinum Equity, LLC and Tom Gores together hold a controlling interest in Platinum InvestCo (Cayman), LLC, which holds a controlling interest in Platinum Equity InvestCo, L.P. By virtue of these relationships, each of these entities and Mr. Gores may be deemed to share beneficial ownership of the securities held of record by PE One Source. Each of these entities and Mr. Gores disclaim any such beneficial ownership except to the extent of their pecuniary interests therein.

Remarks:
Due to limitations of the electronic filing system, each of PE One Source Holdings, LLC, Platinum Equity Capital Partners V, L.P., Platinum Equity Partners V, L.P., Platinum Equity Partners V, LLC, Platinum Equity Investment Holdings V, LLC, Platinum Equity Investment Holdings V Manager, LLC, Platinum Equity InvestCo, L.P., Platinum InvestCo (Cayman), LLC, Platinum Equity Investment Holdings IC (Cayman), LLC and Platinum Equity Investment Holdings, LLC are filing a separate Form 4.

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).
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