0001104659-21-048553.txt : 20210409
0001104659-21-048553.hdr.sgml : 20210409
20210409142314
ACCESSION NUMBER: 0001104659-21-048553
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210315
FILED AS OF DATE: 20210409
DATE AS OF CHANGE: 20210409
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KINDER JOSEPH
CENTRAL INDEX KEY: 0001555217
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35629
FILM NUMBER: 21817464
MAIL ADDRESS:
STREET 1: C/O THE TILE SHOP, INC.
STREET 2: 14000 CARLSON PARKWAY
CITY: PLYMOUTH
STATE: MN
ZIP: 55441
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: 763-852-2950
MAIL ADDRESS:
STREET 1: 14000 CARLSON PARKWAY
CITY: PLYMOUTH
STATE: MN
ZIP: 55441
4/A
1
tm2110111d5_4a.xml
OWNERSHIP DOCUMENT
X0306
4/A
2021-03-15
2021-03-17
0
0001552800
TILE SHOP HOLDINGS, INC.
TTSH
0001555217
KINDER JOSEPH
C/O TILE SHOP HOLDINGS, INC.
14000 CARLSON PARKWAY
PLYMOUTH
MN
55441
0
1
0
0
See Remarks
Common Stock
2021-03-16
4
F
0
4317
6.98
D
75492
D
Common Stock
1100
I
By Spouse
Stock Option (Right to Buy)
8.5
2027-11-06
Common Stock
26900
26900
D
Stock Option (Right to Buy)
8.8
2028-07-20
Common Stock
50000
50000
D
This amendment is being filed to report the number of shares withheld to cover taxes that had been incorrectly reported as a result of an administrative error.
Includes (i) 42,741 shares of restricted stock for which the risks of forfeiture will lapse as to 14,247 shares on each of 3/16/22, 3/16/23 and 3/16/24; (ii) 7,607 shares of restricted stock for which the risks of forfeiture will lapse as to 2,535 shares on 3/15/22 and 2,536 shares on each of 3/15/23 and 3/15/24; and (iii) 15,214 shares of performance-based restricted stock for which the risks of forfeiture will lapse in three installments of 4,564, 4,564 and 6,086 on each of the dates that the Issuer files its annual report for the years ending December 31, 2021, 2022 and 2023, respectively, subject to Mr. Kinder remaining in continuous employment with the Issuer prior to and as of December 31 of the year preceding the applicable vesting date and the Issuer achieving its performance target for each respective year.
Options to purchase 6,725 shares will vest on 11/6/2021.
Fully exercisable.
SVP, Supply Chain & Distribution
/s/ Joseph Kinder
2021-04-09