Filing Details

Accession Number:
0000914190-16-000556
Form Type:
4
Zero Holdings:
No
Publication Time:
2016-03-10 16:39:02
Reporting Period:
2016-03-08
Filing Date:
2016-03-10
Accepted Time:
2016-03-10 16:39:02
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1552800 Tile Shop Holdings Inc. TTS () DE
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
937541 H Peter Kamin C/O Tile Shop Holdings, Inc.
14000 Carlson Parkway
Plymouth MN 55441
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2016-03-08 7,453 $12.62 7,453 No 4 P Indirect By Peter H. Kamin Family Foundation
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect By Peter H. Kamin Family Foundation
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 388,799 Direct
Common Stock 379,059 Indirect By Peter H. Kamin Revocable Trust
Common Stock 228,216 Indirect By Peter H. Kamin Childrens Trust
Common Stock 160,723 Indirect By 3K Limited Partnership
Common Stock 135,361 Indirect By Peter H. Kamin GST Trust
Common Stock 100 Indirect By Son
Footnotes
  1. Includes 3,602 shares of restricted stock granted pursuant to the Company's 2012 Omnibus Award Plan, which are subject to a purchase option in favor of the Company until August 21, 2016.
  2. These 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.
  3. These 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.
  4. These 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.
  5. These 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.
  6. These 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.
  7. These 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.