SEC Form 4 · accession 0000914190-18-000107

TILE SHOP HOLDINGS, INC. · TTS

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Peter H Kamin

Director

Period of report

Feb 27, 2018

Accepted (ET)

Mar 1, 2018 · 6:08 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 Stock	Feb 27, 2018	P	27,881	$5.52	A	609,059	D
Common Stock	Feb 28, 2018	P	13,472	$5.43	A	622,531	D
Common Stock	Mar 1, 2018	P	20,867	$5.40	A	643,398	D
Common Stock^F1	Feb 27, 2018	P	30,071	$5.52	A	589,319	I	By Peter H. Kamin Revocable Trust
Common Stock^F1	Feb 28, 2018	P	14,532	$5.43	A	603,851	I	By Peter H. Kamin Revocable Trust
Common Stock^F1	Mar 1, 2018	P	22,490	$5.40	A	626,341	I	By Peter H. Kamin Revocable Trust
Common Stock^F2	Feb 27, 2018	P	18,640	$5.52	A	359,897	I	By Peter H. Kamin Childrens Trust
Common Stock^F2	Feb 28, 2018	P	9,008	$5.43	A	368,905	I	By Peter H. Kamin Childrens Trust
Common Stock^F2	Mar 1, 2018	P	13,944	$5.40	A	382,849	I	By Peter H. Kamin Childrens Trust
Common Stock^F3	Feb 27, 2018	P	3,608	$5.52	A	186,006	I	By 3K Limited Partnership
Common Stock^F3	Feb 28, 2018	P	1,774	$5.43	A	187,780	I	By 3K Limited Partnership
Common Stock^F3	Mar 1, 2018	P	2,699	$5.40	A	190,479	I	By 3K Limited Partnership
Common Stock^F4	holding	—	—		—	7,453	I	By Peter H. Kamin Family Foundation
Common Stock^F5	holding	—	—		—	135,361	I	By Peter H. Kamin GST Trust
Common Stock^F6	holding	—	—		—	100	I	By Son

Table II — derivative securities

No Table II lines on this filing.

Explanation of responses

F1These securities are owned by the Peter H. Kamin Revocable Trust dated February 2003. The reporting person is trustee of the trust. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for Section 16 or any other purpose.
F2These securities are owned by the Peter H. Kamin Childrens Trust dated March 1997. The reporting person is trustee of the trust. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for Section 16 or any other purpose.
F3These securities are owned by the 3K Limited Partnership. The reporting person is general partner of the limited partnership. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for Section 16 or any other purpose.
F4These securities are owned by the Peter H. Kamin Family Foundation. The reporting person is trustee of the foundation. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for Section 16 or any other purpose.
F5These securities are owned by the Peter H. Kamin GST Trust. The reporting person is trustee of the trust. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for Section 16 or any other purpose.
F6These securities are owned by reporting person's son. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for Section 16 or any other purpose.