Filing Details

Accession Number:
0000914190-13-000387
Form Type:
4
Zero Holdings:
No
Publication Time:
2013-06-11 18:16:15
Reporting Period:
2013-05-01
Filing Date:
2013-06-11
Accepted Time:
2013-06-11 18:16:15
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1552800 Tile Shop Holdings Inc. TTS Retail-Home Furniture, Furnishings & Equipment Stores (5700) 455538095
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1555194 Iii J Peter Jacullo 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 2013-05-01 750,310 $11.50 5,504,736 No 4 X Indirect By JWTS, Inc.
Common Stock Disposition 2013-05-01 411,276 $20.98 5,093,460 No 4 S Indirect By JWTS, Inc.
Common Stock Acquisiton 2013-05-01 1,000 $11.50 1,100 No 4 X Indirect By Son
Common Stock Disposition 2013-05-01 549 $20.98 551 No 4 S Indirect By Son
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 X Indirect By JWTS, Inc.
No 4 S Indirect By JWTS, Inc.
No 4 X Indirect By Son
No 4 S Indirect By Son
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Common Stock Warrants (Right to Buy) Disposition 2013-05-01 750,310 $0.00 750,310 $11.50
Common Stock Common Stock Warrants (Right to Buy) Disposition 2013-05-01 1,000 $0.00 1,000 $11.50
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2012-09-20 2017-08-21 No 4 X Indirect
0 2012-09-20 2017-08-21 No 4 X Indirect
Footnotes
  1. These securities are owned by JWTS, Inc. ("JWTS"). The reporting person is the sole director of JWTS. 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.
  2. On May 1, 2013, JWTS exercised a warrant to purchase 750,310 shares of Issuer common stock for $11.50 a share. JWTS paid the exercise price on a cashless basis, resulting in the Issuer's withholding of 411,276 of the warrant shares to pay the exercise price and issuing to JWTS the remaining 339,034 shares.
  3. These securities are owned by the 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.
  4. On May 1, 2013, the reporting person's son exercised a warrant to purchase 1,000 shares of Issuer common stock for $11.50 a share. The reporting person's son paid the exercise price on a cashless basis, resulting in the Issuer's withholding of 549 of the warrant shares to pay the exercise price and issuing to the reporting person's son the remaining 451 shares.