0001209191-20-003700.txt : 20200116 0001209191-20-003700.hdr.sgml : 20200116 20200116164230 ACCESSION NUMBER: 0001209191-20-003700 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200114 FILED AS OF DATE: 20200116 DATE AS OF CHANGE: 20200116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Carroll Brian M. CENTRAL INDEX KEY: 0001794304 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38136 FILM NUMBER: 20531492 MAIL ADDRESS: STREET 1: 140 TOWER DRIVE CITY: BURR RIDGE STATE: IL ZIP: 60527 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Accel Entertainment, Inc. CENTRAL INDEX KEY: 0001698991 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-AMUSEMENT & RECREATION SERVICES [7900] IRS NUMBER: 981350261 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 140 TOWER DRIVE CITY: BURR RIDGE STATE: IL ZIP: 60527 BUSINESS PHONE: 630-972-2235 MAIL ADDRESS: STREET 1: 140 TOWER DRIVE CITY: BURR RIDGE STATE: IL ZIP: 60527 FORMER COMPANY: FORMER CONFORMED NAME: TPG Pace Holdings Corp. DATE OF NAME CHANGE: 20170224 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2020-01-14 0 0001698991 Accel Entertainment, Inc. ACEL 0001794304 Carroll Brian M. C/O ACCEL ENTERTAINMENT, INC. 140 TOWER DRIVE BURR RIDGE IL 60527 0 1 0 0 Chief Financial Officer Class A-1 Common Stock 2020-01-14 4 C 0 7642 A 322982 D Class A-2 Common Stock 2020-01-14 4 C 0 7642 0.00 D Class A-1 Common Stock 7642 15285 D Represents the automatic conversion of a portion of the shares of the Issuer's Class A-2 Common Stock into shares of the Issuer's Class A-1 Common Stock. The Issuer's Class A-2 Common Stock will automatically convert into an equal number of the Issuer's Class A-1 Common Stock in three separate tranches, with no action required of the holder thereof, upon the satisfaction of certain predetermined stock price or earnings thresholds as set forth in the Restricted Stock Agreement dated as of November 20, 2019, by and among the Issuer, the Reporting Person and the other persons party thereto. The first stock price threshold was achieved on January 14, 2020. The Class A-2 Common Stock has no expiration date. /s/ Derek Harmer, Attorney-in-fact for Brian M. Carroll 2020-01-16