Statement of Changes in Beneficial Ownership (4)
July 02 2021 - 5:02PM
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
*
Baker Stewart Frank Bradley |
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)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) EVP & Chief Financial Officer |
(Last)
(First)
(Middle)
C/O INSPIRED ENTERTAINMENT, INC., 250 WEST 57TH STREET,SUITE 415 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
6/30/2021 |
(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 | 6/30/2021 | | M(1) | | 12069 | A | $0 | 45638 | D | |
Common Stock | 6/30/2021 | | F(2) | | 5673 | D | $12.75 | 39965 | D | |
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) | 6/30/2021 | | M | | | 12069 | (3) | (3) | Common Stock | 12069 | $0.00 | 36208 | 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) | 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, 12,069 units on December 31, 2021 and 24,139 units on December 31, 2022. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Baker Stewart Frank Bradley C/O INSPIRED ENTERTAINMENT, INC. 250 WEST 57TH STREET,SUITE 415 NEW YORK, NY 10107 |
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| EVP & Chief Financial Officer |
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Signatures
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/s/ Carys Damon, Attorney-in-Fact | | 7/2/2021 |
**Signature of Reporting Person | Date |
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