0001209191-20-003714.txt : 20200116
0001209191-20-003714.hdr.sgml : 20200116
20200116165254
ACCESSION NUMBER: 0001209191-20-003714
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: Rubenstein Andrew H.
CENTRAL INDEX KEY: 0001794156
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38136
FILM NUMBER: 20531557
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
0001794156
Rubenstein Andrew H.
C/O ACCEL ENTERTAINMENT, INC.
140 TOWER DRIVE
BURR RIDGE
IL
60527
1
1
1
0
CEO and President
Class A-1 Common Stock
2020-01-14
4
C
0
91661
A
4125877
D
Class A-1 Common Stock
2020-01-14
4
C
0
103466
A
4224416
I
See Footnote
Class A-2 Common Stock
2020-01-14
4
C
0
91661
0.00
D
Class A-1 Common Stock
91661
183324
D
Class A-2 Common Stock
2020-01-14
4
C
0
103466
0.00
D
Class A-1 Common Stock
103466
206932
I
See Footnote
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.
Securities are held by Harry R, LLC, of which the Reporting Person is the sole Member. The Reporting Person disclaims beneficial ownership over such securities except to the extent of his pecuniary interest therein, and the inclusion of such securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
/s/ Derek Harmer, Attorney-in-fact for Andrew H. Rubenstein
2020-01-16