0001213900-20-000176.txt : 20200103 0001213900-20-000176.hdr.sgml : 20200103 20200103171738 ACCESSION NUMBER: 0001213900-20-000176 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191231 FILED AS OF DATE: 20200103 DATE AS OF CHANGE: 20200103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WEIL A LORNE CENTRAL INDEX KEY: 0000921873 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36689 FILM NUMBER: 20506753 MAIL ADDRESS: STREET 1: C/O HYDRA INDUSTRIES ACQUISITION CORP STREET 2: 250 WEST 57TH STREET, SUITE #2223 CITY: NEW YORK STATE: NY ZIP: 10107 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Inspired Entertainment, Inc. CENTRAL INDEX KEY: 0001615063 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 471025534 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 250 WEST 57TH STREET, 22ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10107 BUSINESS PHONE: (646) 565-3861 MAIL ADDRESS: STREET 1: 250 WEST 57TH STREET, 22ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10107 FORMER COMPANY: FORMER CONFORMED NAME: Hydra Industries Acquisition Corp. DATE OF NAME CHANGE: 20140728 4 1 ownership.xml OWNERSHIP DOCUMENT X0306 4 2019-12-31 0 0001615063 Inspired Entertainment, Inc. INSE 0000921873 WEIL A LORNE C/O INSPIRED ENTERTAINMENT, INC. 250 WEST 57TH STREET, SUITE 2223 NEW YORK NY 10107 1 1 1 0 Executive Chairman Common Stock 2019-12-31 4 M 0 60213 0 A 60213 D Common Stock 2019-12-31 4 F 0 23014 6.75 D 37199 D Common Stock 476308 I See Footnote Restricted Stock Units 2019-12-31 4 M 0 60213 0.00 D Common Stock 60213 120429 D Represents conversion of restricted stock units into shares of common stock on a one-for-one basis. Represents shares withheld to satisfy tax withholding requirements for settlement of restricted stock units. Represents shares held by Hydra Industries Sponsor LLC (the "Hydra Sponsor"). Mr. Weil is the managing member of the Hydra Sponsor, whose membership interests are owned by Mr. Weil and Mr. Weil's children or trusts for their benefit. Mr. Weil has sole voting and dispositive power over the securities held by the Hydra Sponsor. Mr. Weil disclaims beneficial ownership over any securities owned by the Hydra Sponsor in which he does not have any pecuniary interest. The restricted stock units were approved by the Issuer's compensation committee subject to stockholder approval which was obtained in May 2019. One-third of the units vested on December 31, 2019 and the balance is scheduled to vest in two equal installments on each of December 31, 2020 and December 31, 2021. /s/ Carys Damon, Attorney-in-Fact 2020-01-03