0001615774-17-007594.txt : 20171226
0001615774-17-007594.hdr.sgml : 20171226
20171226173104
ACCESSION NUMBER: 0001615774-17-007594
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171221
FILED AS OF DATE: 20171226
DATE AS OF CHANGE: 20171226
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: 171274970
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: 0930
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
s108541_4.xml
4
X0306
4
2017-12-21
0
0001615063
Inspired Entertainment, Inc.
INSE
0000921873
WEIL A LORNE
250 WEST 57TH STREET
NEW YORK
NY
10107
1
1
1
0
Executive Chairman
Common Stock
2017-12-21
4
D
0
926272
0
D
0
D
Common Stock
476308
I
See Footnote
Restricted Stock Units
2017-12-21
5
A
0
E
926272
0.00
A
Common Stock
926272
926272
D
A. Lorne Weil and Inspired Entertainment, Inc. (the "Company") agreed to the forfeiture and cancellation of such shares of common stock, which had previously been granted by the Company to Mr. Weil in the form of restricted stock under the Company's 2016 Long-Term Incentive Plan.
Represents 476,308 shares of common stock held by Hydra Industries Sponsor LLC ("Hydra Sponsor") an affiliate of Mr. Weil. Mr. Weil is the managing member of 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 with respect to such shares. Mr. Weil disclaims beneficial ownership over any securities owned by Hydra Sponsor in which he does not have any pecuniary interest.
Each restricted stock unit ("RSU") represents a contingent right to receive one share of common stock at settlement, subject to the terms and conditions set forth in the award of such RSUs by the Company to Mr. Weil under the Company's Second Long-Term Incentive Plan ("Second Incentive Plan"). The Company's Second Incentive Plan was approved by the Board of Directors and is pending stockholder approval. All awards thereunder are contingent upon stockholder approval of the Second Incentive Plan.
The RSUs vest on December 31, 2019, or earlier upon the occurrence of a Transformational M&A Transaction, a Change in Control of the Company, or death, disability, termination by the Company without cause or termination by Mr. Weil with good reason, subject to the terms and conditions set forth in the award agreement and the Second Incentive Plan. Settlement of vested RSUs shall not occur until Mr. Weil's services with the Company terminate or in the event of his death or disability, or upon a Change in Control.
/s/ George Peng, attorney-in-fact
2017-12-26