Amended Statement of Beneficial Ownership (3/a)
May 28 2020 - 5:03PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
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3235-0104
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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
*
Harmer Derek |
2. Date of Event Requiring Statement (MM/DD/YYYY)
11/20/2019
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3. Issuer Name and Ticker or Trading Symbol
Accel Entertainment, Inc. [ACEL]
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(Last)
(First)
(Middle)
C/O ACCEL ENTERTAINMENT, INC., 140 TOWER DRIVE |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner ___X___ Officer (give title below) _____ Other (specify below) Secretary / |
(Street)
BURR RIDGE, IL 60527
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY) 11/22/2019
| 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 Beneficially Owned
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1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Employee Stock Option (Right to Buy) | (1) | 8/30/2021 | Class A-1 Common Stock | 103131 | $2.33 | D | |
Employee Stock Option (Right to Buy) | (2) | 12/11/2024 | Class A-1 Common Stock | 34377 | $5.24 | D | |
Employee Stock Option (Right to Buy) | (3) | 12/12/2023 | Class A-1 Common Stock | 27501 | $4.07 | D | |
Explanation of Responses: |
(1) | Represents unvested options that were converted into stock options exercisable for Class A-1 shares in connection with the transaction with TPG Pace Holdings Corp., which will vest in accordance with the vesting schedule as in effect prior to the transaction, such that 1/2 of the converted stock options will vest on May 9, 2020, and the remainder will vest on May 9, 2021, subject to the Reporting Person's continued service to the issuer on each vesting date. |
(2) | Represents unvested options that were converted into stock options exercisable for Class A-1 shares in connection with the transaction with TPG Pace Holdings Corp., which will vest in accordance with the vesting schedule as in effect prior to the transaction, such that 1/4 of the converted stock options will vest on December 11, 2020, and the remainder will vest as to 1/4 of the total award annually thereafter, subject to the Reporting Person's continued service to the issuer on each vesting date. |
(3) | Represents unvested options that were converted into stock options exercisable for Class A-1 shares in connection with the transaction with TPG Pace Holdings Corp., which will vest in accordance with the vesting schedule as in effect prior to the transaction, such that 1/3 of the converted stock options will vest on December 12, 2020, and the remainder will vest as to 1/3 of the total award annually thereafter, subject to the Reporting Person's continued service to the issuer on each vesting date. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Harmer Derek C/O ACCEL ENTERTAINMENT, INC. 140 TOWER DRIVE BURR RIDGE, IL 60527 |
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| Secretary |
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Signatures
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/s/ Derek Harmer | | 5/28/2020 |
**Signature of Reporting Person | Date |
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