Custom Truck One Source, Inc. — Director's Dealing 2017

Aug 15, 2017

SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: Capitol Investment Corp. IV (CIC)
CIK: 0001709682
Period of Report: 2017-08-15

Reporting Person: Donaldson Richard C (Director)

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Class B ordinary shares	$		Class A ordinary shares (50000)		Direct
Warrants	$11.50		Class A ordinary shares (133333)		Direct

Footnotes

F1: The Class B ordinary shares are convertible for the Issuer's Class A ordinary shares as described under the heading "Description of Securities - Founder Shares" in the Issuer's registration statement on Form S-1 (File No. 333-219146) and have no expiration date.

F2: These warrants will be purchased by Mr. Donaldson simultaneously with the consummation of the IPO.

F3: The warrants will become exercisable on the later of 30 days after the completion of the Issuer's initial business combination or 12 months from the closing of the IPO.

F4: The warrants will expire on the fifth anniversary of the completion of the Issuer's initial business combination.