SEC Form 4 · accession 0000914190-17-000156
TILE SHOP HOLDINGS, INC. · TTS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Chris Homeister
Officer — CEO and President · Director
Period of report
May 11, 2017
Accepted (ET)
May 15, 2017 · 4:58 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 | May 11, 2017 | A | 6,100 | $0.00 | A | 61,158 | D | |
| Common StockF2,F3 | May 11, 2017 | A | 6,100 | $0.00 | A | 67,258 | 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)F8 | $20.35 | May 11, 2017 | A | 25,900 | A | — | May 11, 2027 | Common Stock | 25,900 | 25,900 | D |
| Stock Option (Right to Buy)F4 | $28.94 | holding | — | — | — | — | Oct 1, 2023 | Common Stock | 200,000 | 200,000 | D |
| Stock Option (Right to Buy)F5 | $13.17 | holding | — | — | — | — | Feb 13, 2021 | Common Stock | 50,000 | 50,000 | D |
| Stock Option (Right to Buy)F6 | $8.73 | holding | — | — | — | — | Jan 2, 2022 | Common Stock | 150,000 | 150,000 | D |
| Stock Option (Right to Buy)F7 | $18.15 | holding | — | — | — | — | Apr 20, 2026 | Common Stock | 31,250 | 31,250 | D |
Explanation of responses
- F1Represents 6,100 shares of restricted stock for which the Company's purchase option will lapse in installments of 1,525 shares on each of May 11, 2018, May 11, 2019, May 11, 2020 and May 11, 2021.
- F2Represents 6,100 shares of performance-based restricted stock for which the Company's purchase option will lapse on May 11, 2020 based on the Company's achievement of its three-year adjusted EBITDA target.
- F3Includes (i) 12,500 shares of restricted stock granted pursuant to the 2012 Omnibus Award Plan for which the Company's purchase option will lapse on October 1, 2017; (ii) 13,000 shares of restricted stock granted pursuant to the 2012 Omnibus Award Plan for which the Company's purchase option will lapse in equal installments of 3,250 shares on each of April 20, 2018, April 20, 2019, April 20, 2020 and April 20, 2021; (iii) 6,100 shares of restricted stock for which the Company's purchase option will lapse in installments of 1,525 shares on each of May 11, 2018, May 11, 2019, May 11, 2020 and May 11, 2021; and (iv) 6,100 shares of performance-based restricted stock for which the Company's purchase option will lapse on May 11, 2020 based on the Company's achievement of its three-year adjusted EBITDA target.
- F4Options to purchase 50,000 shares vest on each of October 1, 2014, October 1, 2015, October 1, 2016 and October 1, 2017.
- F5Options to purchase 10,000 shares vest on each of February 13, 2015, February 13, 2016, February 13, 2017, February 13, 2018 and February 13, 2019.
- F6Options to purchase 30,000 shares vest on each of January 2, 2016, January 2, 2017, January 2, 2018, January 2, 2019 and January 2, 2020.
- F7Options to purchase 6,250 shares vest on each of April 20, 2017, April 20, 2018, April 20, 2019, April 20, 2020 and April 20, 2021.
- F8Options to purchase 6,475 shares vest on each of May 11, 2018, May 11, 2019, May 11, 2020 and May 11, 2021.