0001235802-21-000074.txt : 20210713 0001235802-21-000074.hdr.sgml : 20210713 20210713160814 ACCESSION NUMBER: 0001235802-21-000074 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210709 FILED AS OF DATE: 20210713 DATE AS OF CHANGE: 20210713 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RUCKER ROBERT A CENTRAL INDEX KEY: 0001555206 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35629 FILM NUMBER: 211087982 MAIL ADDRESS: STREET 1: 14000 CARLSON PARKWAY CITY: PLYMOUTH STATE: MN ZIP: 55441 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TILE SHOP, INC. CENTRAL INDEX KEY: 0001555223 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35629 FILM NUMBER: 211087981 BUSINESS ADDRESS: STREET 1: 15236 BOULDER POINTE ROAD CITY: EDEN PRAIRIE STATE: MN ZIP: 55347 BUSINESS PHONE: 612-963-1235 MAIL ADDRESS: STREET 1: 15236 BOULDER POINTE ROAD CITY: EDEN PRAIRIE STATE: MN ZIP: 55347 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 primary_doc.xml PRIMARY DOCUMENT X0306 4 2021-07-09 1 0001552800 TILE SHOP HOLDINGS, INC. TTSH 0001555206 RUCKER ROBERT A 15236 BOULDER POINTE ROAD EDEN PRAIRIE MN 55347 0 0 0 1 Reported Voluntarily 0001555223 TILE SHOP, INC. 15236 BOULDER POINTE ROAD EDEN PRAIRIE MN 55347 0 0 0 1 Reported Voluntarily Common Stock 2021-07-09 4 S 0 6550 7.69 D 0 I By UGMA #5 Common Stock 2021-07-12 4 S 0 38329 7.66 D 0 D The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $7.63 to $7.73, inclusive. The reporting person undertakes to provide to Tile Shop Holdings, Inc., any security holder of Tile Shop Holdings, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in this footnote (1) to this Form 4. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $7.50 to $7.8001, inclusive. The reporting person undertakes to provide to Tile Shop Holdings, Inc., any security holder of Tile Shop Holdings, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in this footnote (2) to this Form 4. /s/ Robert A. Rucker 2021-07-13 /s/ Robert A. Rucker, President, Tile Shop, Inc. 2021-07-13