SEC Form 4 · accession 0000914190-17-000109
TILE SHOP HOLDINGS, INC. · TTS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Joyce Maruniak
Officer — Sr. VP - Supply Chain
Period of report
Mar 6, 2017
Accepted (ET)
Mar 8, 2017 · 5:25 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001552800
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Mar 6, 2017 | A | 20,000 | $0.00 | A | 20,000 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F2 | $17.90 | Mar 6, 2017 | A | 40,000 | A | — | Mar 6, 2024 | Common Stock | 40,000 | 40,000 | D |
Explanation of responses
- F1Represents shares of restricted stock granted pursuant to the Company's 2012 Omnibus Award Plan, for which the restrictions will lapse in equal installments of 4,000 shares on each of March 6, 2018, March 6, 2019, March 6, 2020, March 6, 2021 and March 6, 2022.
- F2Options to purchase 8,000 shares vest on each of March 6, 2018, March 6, 2019, March 6, 2020, March 6, 2021 and March 6, 2022.