0000899243-19-027966.txt : 20191122 0000899243-19-027966.hdr.sgml : 20191122 20191122162055 ACCESSION NUMBER: 0000899243-19-027966 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191120 FILED AS OF DATE: 20191122 DATE AS OF CHANGE: 20191122 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Philips Kathleen CENTRAL INDEX KEY: 0001524268 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38136 FILM NUMBER: 191241880 MAIL ADDRESS: STREET 1: C/O ZILLOW GROUP, INC. STREET 2: 1301 SECOND AVENUE, FLOOR 31 CITY: SEATTLE STATE: WA ZIP: 98101 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Accel Entertainment, Inc. CENTRAL INDEX KEY: 0001698991 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 981350261 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 140 TOWER DRIVE CITY: BURR RIDGE STATE: IL ZIP: 60527 BUSINESS PHONE: 630-972-2235 MAIL ADDRESS: STREET 1: 140 TOWER DRIVE CITY: BURR RIDGE STATE: IL ZIP: 60527 FORMER COMPANY: FORMER CONFORMED NAME: TPG Pace Holdings Corp. DATE OF NAME CHANGE: 20170224 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-11-20 0 0001698991 Accel Entertainment, Inc. ACEL 0001524268 Philips Kathleen C/O TPG PACE HOLDINGS CORP 301 COMMERCE ST. SUITE 3300 FORT WORTH TX 76102 1 0 0 0 Class A-1 Common Stock 2019-11-20 4 A 0 40000 0.00 A 40000 D Class F Common Stock 2019-11-20 4 D 0 40000 D Class A-1 Common Stock 40000 0 D On November 20, 2019, TPG Pace Holdings Corp. (renamed as Accel Entertainment, Inc., the "Issuer") domesticated as a Delaware corporation whereupon (i) each Class F Ordinary Share, par value $0.0001 per share ("Class F Ordinary Shares"), of the Issuer became one share of Class F Common Stock, par value $0.0001 per share ("Class F Common Stock"), of the Issuer, and (ii) each share of Class F Common Stock was exchanged for one share of Class A-1 Common Stock, par value $0.0001 per share ("Class A-1 Common Stock"), of the Issuer. Pursuant to the Issuer's Amended and Restated Certificate of Incorporation (and previously the Issuer's Amended & Restated Memorandum and Articles of Association), the shares of Class F Common Stock (previously Class F Ordinary Shares) had been automatically convertible into shares of Class A-1 Common Stock (previously Class A Ordinary Shares) of the Issuer at the time of the Issuer's initial business combination, or earlier at the option of the holder, on a one-for-one basis, subject to adjustment. Eduardo Tamraz is signing on behalf of Ms. Kathleen Philips pursuant to the authorization and designation letter dated June 27, 2017, which was previously filed with the Securities and Exchange Commission. /s/ Eduardo Tamraz, as Attorney-in-Fact 2019-11-22