0001387131-20-000302.txt : 20200116 0001387131-20-000302.hdr.sgml : 20200116 20200116160435 ACCESSION NUMBER: 0001387131-20-000302 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: Peterson Karl Mr. CENTRAL INDEX KEY: 0001425873 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38136 FILM NUMBER: 20530965 MAIL ADDRESS: STREET 1: 301 COMMERCE STREET STREET 2: SUITE 3300 CITY: FORT WORTH STATE: TX ZIP: 76102 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 acel-form4_011420.xml OWNERSHIP DOCUMENT X0306 4 2020-01-14 0 0001698991 Accel Entertainment, Inc. ACEL 0001425873 Peterson Karl Mr. C/O TPG GLOBAL, LLC, 301 COMMERCE STREET, SUITE 3300 FORT WORTH TX 76102 1 0 0 0 Class A-1 Common Stock 2020-01-14 4 C 0 207200 A 2775646 I See Explanation of Responses Class A-2 Common Stock 2020-01-14 4 C 0 207200 D Class A-1 Common Stock 207200 414400 I See Explanation of Responses On January 14, 2020, pursuant to the Amended and Restated Certificate of Incorporation of Accel Entertainment, Inc. (the "Issuer") and the Restricted Stock Agreement, dated as of November 20, 2019, the first tranche of shares of Class A-2 Common Stock ("Class A-2 Common Stock") of the Issuer held by Mr. Karl Peterson converted into an equal number of shares of Class A-1 Common Stock ("Class A-1 Common Stock") of the Issuer. The shares of Class A-2 Common Stock are convertible into shares of Class A-1 Common Stock on a one-for-one basis, subject to adjustment, in three separate tranches upon the satisfaction of certain triggers based on the Issuer's financial performance, or upon certain other events, subject to certain exceptions as set forth in the Restricted Stock Agreement. Held through personal vehicles. (3) Michael LaGatta is signing on behalf of Mr. Peterson pursuant to the authorization and designation letter dated March 14, 2017, which was previously filed with the Securities and Exchange Commission. /s/ Michael LaGatta on behalf of Karl Peterson(3) 2020-01-16