0001209191-21-032235.txt : 20210512 0001209191-21-032235.hdr.sgml : 20210512 20210512203131 ACCESSION NUMBER: 0001209191-21-032235 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210510 FILED AS OF DATE: 20210512 DATE AS OF CHANGE: 20210512 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: 21916779 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 2021-05-10 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 2021-05-10 4 M 0 17295 2.33 A 254947 D Employee Stock Option (right to buy) 2.33 2021-05-10 4 M 0 17295 0.00 D 2021-08-30 Class A-1 Common Stock 17295 85836 D 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. /s/ Derek Harmer, Attorney-in-Fact for Brian M. Carroll 2021-05-12