SEC Form 4 · accession 0000914190-17-000127
TILE SHOP HOLDINGS, INC. · TTS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Carl Randazzo
Officer — Sr. VP - Real Estate & Dev.
Period of report
Apr 20, 2017
Accepted (ET)
Apr 24, 2017 · 4:59 pm EDT
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,F2 | Apr 20, 2017 | F | 328 | $20.75 | D | 4,672 | 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)F3 | $10.00 | holding | — | — | — | — | Aug 21, 2022 | Common Stock | 241,500 | 241,500 | D |
| Stock Option (Right to Buy)F4 | $18.15 | holding | — | — | — | — | Apr 20, 2026 | Common Stock | 9,375 | 9,375 | D |
Explanation of responses
- F1The reporting person has elected to satisfy his tax withholding obligation in connection with the vesting of a prior restricted stock grant by directing the Company to withhold shares otherwise issuable pursuant to the previously reported grant.
- F2Includes 4,000 shares of restricted stock for which the Company's purchase option will lapse in equal installments of 1,000 shares on each of April 20, 2018, April 20, 2019, April 20, 2020 and April 20, 2021.
- F3Fully exercisable.
- F4Options to purchase 1,875 shares vest on each of April 20, 2017, April 20, 2018, April 20, 2019, April 20, 2020 and April 20, 2021.