SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
WEIL A LORNE

(Last) (First) (Middle)
C/O INSPIRED ENTERTAINMENT, INC.
250 WEST 57TH STREET, SUITE 415

(Street)
NEW YORK NY 10107

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Inspired Entertainment, Inc. [ INSE ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Executive Chairman
3. Date of Earliest Transaction (Month/Day/Year)
05/11/2021
4. If Amendment, Date of Original Filed (Month/Day/Year)
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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Units(1) (2) 05/11/2021 A(1) 250,000 (3) (3) Common Stock 250,000 $0.00 250,000 D
Performance Restricted Stock Units(1) (2) 05/11/2021 A(1) V 250,000 (4) (4) Common Stock 250,000 $0.00 250,000 D
Stock Price Restricted Stock Units(1) (2) 05/11/2021 A(1) 250,000 (5) (5) Common Stock 250,000 $0.00 250,000 D
Explanation of Responses:
1. Reflects special sign-on equity awards to Mr. Weil pursuant to his employment agreement with the Issuer dated October 9, 2020 which were granted under the Issuer's 2021 Omnibus Incentive Plan ("2021 Plan") which was approved by the Issuer's stockholders on May 11, 2021. The awards are subject to deferred settlement such that units that satisfy applicable vesting conditions would not settle until termination of Mr. Weil's services or, if earlier, upon a change in control as specified in the 2021 Plan.
2. Each unit represents a contingent right to receive one share of common stock at settlement.
3. These restricted stock units are scheduled to vest in three installments: 85,000 units on December 31, 2022, 80,000 units on December 31, 2023 and 85,000 units on December 31, 2024.
4. These performance restricted stock units are conditioned on attainment of pre-established performance criteria for the years 2021 through 2024.
5. These stock price restricted stock units are vested as to 165,000 of the units (the price targets established pursuant to Mr. Weil's employment agreement for such units having been met -- 80,000 units at $6.25 and 85,000 units at $8.25) and the remaining 85,000 units are subject to attainment of a stock price target of $15.00.
/s/ Carys Damon, Attorney-in-Fact 05/12/2021
** 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 4 (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).
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