SEC Form 4 · accession 0000914190-17-000143
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 27, 2017
Accepted (ET)
May 1, 2017 · 4:46 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 | Apr 27, 2017 | M | 7,500 | $10.00 | A | 12,172 | D | |
| Common StockF2,F1 | Apr 27, 2017 | F | 4,863 | $21.55 | D | 7,309 | D | |
| Common StockF1 | Apr 27, 2017 | S | 2,637 | $21.90 | 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 | Apr 27, 2017 | M | 7,500 | D | — | Aug 21, 2022 | Common Stock | 7,500 | 234,000 | D |
| Stock Option (Right to Buy)F4 | $18.15 | holding | — | — | — | — | Apr 20, 2026 | Common Stock | 9,375 | 9,375 | D |
Explanation of responses
- F1Includes 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.
- F2The reporting person has elected to pay the exercise price and satisfy his tax withholding obligation in connection with the exercise of a previously granted stock option by directing the Company to withhold shares otherwise issuable pursuant to the stock option.
- 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.