SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
Taylor John E. JR

(Last) (First) (Middle)
C/O TWIN RIVER WORLDWIDE HOLDINGS, INC.
100 TWIN RIVER ROAD

(Street)
LINCOLN RI 02865

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/28/2019
3. Issuer Name and Ticker or Trading Symbol
Twin River Worldwide Holdings, Inc. [ TRWH ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Executive Chairman
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
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)
Common Stock 354,752 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: 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
Vested Restricted Stock Units (1) (1) Vested Restricted Stock Units 40,216 (2) D
Explanation of Responses:
1. The 40,216 shares of the Company's common stock that are issuable to the reporting person as a result of the reporting person's agreement with the Company are not payable to the reporting person until the termination of the reporting person's engagement with the Company or, if earlier, immediately prior to consummation of a change in control of the Company. Accordingly, these shares are being reported in Table II.
2. Each vested restricted stock unit represents the right to receive one share of Twin River Worldwide Holdings, Inc. common stock once payable to the reporting person in accordance with the terms of the reporting person's agreement with the Company.
Remarks:
Exhibit 24.1 - Power of Attorney
/s/ Joseph McGrail, Power of Attorney, In Fact 03/28/2019
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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