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: Dryden L. Dyson (Director, President and CFO, 10% Owner)

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Class B ordinary shares	$		Class A ordinary shares (3293334)		Indirect
Warrants	$11.50		Class A ordinary shares (1811112)		Indirect

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: Includes 437,500 Class B ordinary shares that are subject to forfeiture depending on the extent to which the underwriters in the Issuer's initial public offering do not exercise their over-allotment option.

F3: Mr. Dryden controls Capitol Acquisition Founder IV, LLC.

F4: These warrants will be purchased by Capitol Acquisition Founder IV, LLC simultaneously with the consummation of the IPO.

F5: 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.

F6: The warrants will expire on the fifth anniversary of the completion of the Issuer's initial business combination.