0001493152-21-016092.txt : 20210702 0001493152-21-016092.hdr.sgml : 20210702 20210702170040 ACCESSION NUMBER: 0001493152-21-016092 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210630 FILED AS OF DATE: 20210702 DATE AS OF CHANGE: 20210702 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: 211071102 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, SUITE 415 CITY: NEW YORK, STATE: NY ZIP: 10107 BUSINESS PHONE: (646) 565-3861 MAIL ADDRESS: STREET 1: 250 WEST 57TH STREET, SUITE 415 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 X0306 4 2021-06-30 0 0001615063 Inspired Entertainment, Inc. INSE 0000921873 WEIL A LORNE C/O INSPIRED ENTERTAINMENT, INC. 250 WEST 57TH STREET, SUITE 415 NEW YORK NY 10107 1 1 1 0 Executive Chairman Common Stock 2021-06-30 4 M 0 130388 0 A 204787 D Common Stock 2021-06-30 4 F 0 62340 12.75 D 142447 D Common Stock 476308 I See Footnote Restricted Stock Units 2021-06-30 4 M 0 30388 0.00 D Common Stock 30388 91167 D Restricted Stock Units 2021-06-30 4 M 0 100000 0.00 D Common Stock 100000 0 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. These restricted stock units were granted on August 31, 2020. One-fourth of the units vested on June 30, 2021 and the balance is scheduled to vest in two installments, 30,389 units on December 31, 2021 and 60,778 units on December 31, 2022. These restricted stock units were granted on October 9, 2020. The units vested in one installment on June 30, 2021. /s/ Carys Damon, Attorney-in-Fact 2021-07-02