Statement of Changes in Beneficial Ownership (4)
January 04 2021 - 5:52PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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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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1. Name and Address of Reporting Person
*
WEIL A LORNE |
2. Issuer Name and Ticker or Trading Symbol
Inspired Entertainment, Inc.
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INSE
]
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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 |
(Last)
(First)
(Middle)
C/O INSPIRED ENTERTAINMENT, INC., 250 WEST 57TH STREET, SUITE 415 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
12/31/2020 |
(Street)
NEW YORK, NY 10107
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | 12/31/2020 | | M(1) | | 60214 | A | $0 | 97413 | D | |
Common Stock | 12/31/2020 | | F(2) | | 23014 | D | $6.58 | 74399 | D | |
Common Stock | | | | | | | | 476308 | I | See Footnote (3) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 | 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 of Derivative Security: 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) | 12/31/2020 | | M | | | 60214 | (4) | (4) | Common Stock | 60214 | $0.00 | 60215 | D | |
Explanation of Responses: |
(1) | Represents conversion of restricted stock units into shares of common stock on a one-for-one basis. |
(2) | Represents shares withheld to satisfy tax withholding requirements for settlement of restricted stock units. |
(3) | 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. |
(4) | 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 each of December 31, 2019 and December 31, 2020 and the balance is scheduled to vest on December 31, 2021. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
WEIL A LORNE C/O INSPIRED ENTERTAINMENT, INC. 250 WEST 57TH STREET, SUITE 415 NEW YORK, NY 10107 | X | X | Executive Chairman |
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Signatures
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/s/ Carys Damon, Attorney-in-Fact | | 1/4/2021 |
**Signature of Reporting Person | Date |
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