0001628280-24-004130.txt : 20240209 0001628280-24-004130.hdr.sgml : 20240209 20240209173607 ACCESSION NUMBER: 0001628280-24-004130 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231231 FILED AS OF DATE: 20240209 DATE AS OF CHANGE: 20240209 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ellis Mathew Scot CENTRAL INDEX KEY: 0001929049 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38136 FILM NUMBER: 24616372 MAIL ADDRESS: STREET 1: C/O ACCEL ENTERTAINMENT, INC. STREET 2: 140 TOWER DR. 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] ORGANIZATION NAME: 07 Trade & Services 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 5 1 wk-form5_1707518157.xml FORM 5 X0508 5 2023-12-31 0 1 0 0001698991 Accel Entertainment, Inc. ACEL 0001929049 Ellis Mathew Scot C/O ACCEL ENTERTAINMENT, INC. 140 TOWER DRIVE BURR RIDGE IL 60527 0 1 0 0 Chief Financial Officer 0 Class A-2 Common Stock 3 Class A-1 Common Stock 0 518 D The Reporting Person owned 518 shares of the Issuer's Class A-2 Common Stock on May 1, 2022, the date on with the Reporting Person became an executive officer of the Company. 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 Mathew Ellis 2024-02-09