0000914190-16-000554.txt : 20160308
0000914190-16-000554.hdr.sgml : 20160308
20160308165547
ACCESSION NUMBER: 0000914190-16-000554
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160304
FILED AS OF DATE: 20160308
DATE AS OF CHANGE: 20160308
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: TILE SHOP HOLDINGS, INC.
CENTRAL INDEX KEY: 0001552800
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-HOME FURNITURE, FURNISHINGS & EQUIPMENT STORES [5700]
IRS NUMBER: 455538095
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 14000 CARLSON PARKWAY
CITY: PLYMOUTH
STATE: MN
ZIP: 55441
BUSINESS PHONE: 763-852-2978
MAIL ADDRESS:
STREET 1: 14000 CARLSON PARKWAY
CITY: PLYMOUTH
STATE: MN
ZIP: 55441
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: JACULLO PETER J III
CENTRAL INDEX KEY: 0001555194
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35629
FILM NUMBER: 161492153
MAIL ADDRESS:
STREET 1: C/O THE TILE SHOP, INC.
STREET 2: 14000 CARLSON PARKWAY
CITY: PLYMOUTH
STATE: MN
ZIP: 55441
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2016-03-04
0001552800
TILE SHOP HOLDINGS, INC.
TTS
0001555194
JACULLO PETER J III
C/O TILE SHOP HOLDINGS, INC.
14000 CARLSON PARKWAY
PLYMOUTH
MN
55441
1
0
0
0
Common Stock
2016-03-04
4
P
0
10000
13.30
A
246094
D
Common Stock
2016-03-07
4
P
0
10000
13.30
A
256094
D
Common Stock
2016-03-08
4
P
0
10000
12.85
A
266094
D
Common Stock
4441180
I
By JWTS, Inc.
Includes 7,205 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.
These securities are owned by JWTS, Inc. The reporting person is the sole director of JWTS, Inc. 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.
/s/ Elizabeth M. Dunshee as Attorney-in-Fact for Peter J. Jacullo III pursuant to Power of Attorney previously filed.
2016-03-08