SEC Form 4 · accession 0000914190-18-000520

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

Nov 30, 2018

Accepted (ET)

Dec 4, 2018 · 5:08 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^F1,F2	Nov 30, 2018	P	27,929	$5.94	A	697,589	D
Common Stock^F3,F2	Dec 3, 2018	P	5,970	$5.91	A	703,559	D
Common Stock^F4,F2	Dec 4, 2018	P	15,354	$5.82	A	718,913	D
Common Stock^F1,F5	Nov 30, 2018	P	21,518	$5.94	A	659,312	I	By Peter H. Kamin Revocable Trust
Common Stock^F3,F5	Dec 3, 2018	P	4,336	$5.91	A	663,648	I	By Peter H. Kamin Revocable Trust
Common Stock^F4,F5	Dec 4, 2018	P	12,314	$5.82	A	675,962	I	By Peter H. Kamin Revocable Trust
Common Stock^F1,F6	Nov 30, 2018	P	20,560	$5.94	A	414,168	I	By Peter H. Kamin Childrens Trust
Common Stock^F3,F6	Dec 3, 2018	P	4,341	$5.91	A	418,509	I	By Peter H. Kamin Childrens Trust
Common Stock^F4,F6	Dec 4, 2018	P	11,766	$5.82	A	430,275	I	By Peter H. Kamin Childrens Trust
Common Stock^F1,F7	Nov 30, 2018	P	4,993	$5.94	A	198,084	I	By 3K Limited Partnership
Common Stock^F3,F7	Dec 3, 2018	P	1,055	$5.91	A	199,139	I	By 3K Limited Partnership
Common Stock^F4,F7	Dec 4, 2018	P	2,857	$5.82	A	201,996	I	By 3K Limited Partnership
Common Stock^F8	holding	—	—		—	7,453	I	By Peter H. Kamin Family Foundation
Common Stock^F9	holding	—	—		—	135,361	I	By Peter H. Kamin GST Trust
Common Stock^F10	holding	—	—		—	100	I	By Son

Table II — derivative securities

No Table II lines on this filing.

Explanation of responses

F1The reported price in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $5.91 to $5.97. The reporting person undertakes to provide Tile Shop Holdings, Inc., any security holder of Tile Shop Holdings, Inc. or the staff of the Securities and Exchange Commission upon request, full information regarding the number of shares purchased at each separate price within the range set forth in this footnote.
F10These 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.
F2Includes 11,086 shares of restricted stock granted pursuant to the Company's 2012 Omnibus Award Plan, which are subject to a risk of forfeiture until the earlier of (a) the date of the Company's next annual meeting of stockholders and (b) July 10, 2019.
F3The reported price in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $5.90 to $5.93. The reporting person undertakes to provide Tile Shop Holdings, Inc., any security holder of Tile Shop Holdings, Inc. or the staff of the Securities and Exchange Commission upon request, full information regarding the number of shares purchased at each separate price within the range set forth in this footnote.
F4The reported price in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $5.74 to $5.89. The reporting person undertakes to provide Tile Shop Holdings, Inc., any security holder of Tile Shop Holdings, Inc. or the staff of the Securities and Exchange Commission upon request, full information regarding the number of shares purchased at each separate price within the range set forth in this footnote.
F5These 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.
F6These 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.
F7These 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.
F8These 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.
F9These 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.