0001104659-22-059463.txt : 20220512
0001104659-22-059463.hdr.sgml : 20220512
20220512162611
ACCESSION NUMBER: 0001104659-22-059463
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220511
FILED AS OF DATE: 20220512
DATE AS OF CHANGE: 20220512
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lolmaugh Cabell
CENTRAL INDEX KEY: 0001731797
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35629
FILM NUMBER: 22918236
MAIL ADDRESS:
STREET 1: C/O 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
1
tm2215373d1_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2022-05-11
0
0001552800
TILE SHOP HOLDINGS, INC.
TTSH
0001731797
Lolmaugh Cabell
C/O TILE SHOP HOLDINGS, INC.
14000 CARLSON PARKWAY
PLYMOUTH
MN
55441
1
1
0
0
Chief Executive Officer
Common Stock
2022-05-11
4
P
0
4375
4.557
A
205127
D
Stock Option (Right to Buy)
10
2022-08-21
Common Stock
2750
2750
D
Stock Option (Right to Buy)
14.19
2022-07-14
Common Stock
1613
1613
D
Stock Option (Right to Buy)
8.5
2027-11-06
Common Stock
26900
26900
D
Stock Option (Right to Buy)
5.55
2028-02-22
Common Stock
56000
56000
D
Stock Option (Right to Buy)
6.26
2029-02-20
Common Stock
97067
97067
D
Includes (i) 56,988 shares of restricted stock for which the risks of forfeiture will lapse as to 28,494 shares on each of 3/16/23 and 3/16/24; (ii) 10,147 shares of restricted stock for which the risks of forfeiture will lapse as to 5,066 shares on 3/15/23 and 5,081 shares on 3/15/24; (iii) 15,411 shares of restricted stock for which the risks of forfeiture will lapse in three equal annual installments on each of 3/7/23, 3/7/24 and 3/7/25; and
(iv) the following shares of performance-based restricted stock, which are, in each case, subject to Mr. Lolmaugh 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: (A) 21,299 shares of performance-based restricted stock for which the risks of forfeiture will lapse as to 9,128 and 12,171 shares on each of the dates that the Issuer files its annual report for the years ending December 31, 2022 and 2023, respectively, and (B) 30,823 shares of performance-based restricted stock for which the risks of forfeiture will lapse as to 30%, 30% and 40% of the shares on each of the dates that the Issuer files its annual report for the years ending December 31, 2022, 2023 and 2024, respectively. The Issuer's proxy statement contains additional information regarding the applicable performance targets.
Fully exercisable.
Options to purchase 24,267 shares vest on 2/20/23.
/s/ Cabell Lolmaugh
2022-05-12