SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Carroll Brian M.

(Last) (First) (Middle)
C/O ACCEL ENTERTAINMENT, INC.
140 TOWER DRIVE

(Street)
BURR RIDGE IL 60527

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
11/20/2019
3. Issuer Name and Ticker or Trading Symbol
Accel Entertainment, Inc. [ ACEL ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Financial Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
11/22/2019
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (Right to Buy) (1) 08/30/2021 Class A-1 Common Stock 103,131 $2.33 D
Employee Stock Option (Right to Buy) (2) 12/11/2024 Class A-1 Common Stock 21,485 $5.24 D
Employee Stock Option (Right to Buy) (3) 12/12/2023 Class A-1 Common Stock 17,188 $4.07 D
Explanation of Responses:
1. Represents unvested options that were converted into stock options exercisable for Class A-1 shares in connection with the transaction with TPG Pace Holdings Corp., which will vest in accordance with the vesting schedule as in effect prior to the transaction, such that 1/2 of the converted stock options will vest on May 9, 2020, and the remainder will vest on May 9, 2021, subject to the Reporting Person's continued service to the issuer on each vesting date.
2. Represents unvested options that were converted into stock options exercisable for Class A-1 shares in connection with the transaction with TPG Pace Holdings Corp., which will vest in accordance with the vesting schedule as in effect prior to the transaction, such that 1/4 of the converted stock options will vest on December 11, 2020, and the remainder will vest as to 1/4 of the total award annually thereafter, subject to the Reporting Person's continued service to the issuer on each vesting date.
3. Represents unvested options that were converted into stock options exercisable for Class A-1 shares in connection with the transaction with TPG Pace Holdings Corp., which will vest in accordance with the vesting schedule as in effect prior to the transaction, such that 1/3 of the converted stock options will vest on December 12, 2020, and the remainder will vest as to 1/3 of the total award annually thereafter, subject to the Reporting Person's continued service to the issuer on each vesting date.
Remarks:
/s/ Derek Harmer, Attorney-in-fact for Brian M. Carroll 05/28/2020
** Signature of Reporting Person Date
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 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.