X0304 4 2011-12-05 0 0000844789 US HOME SYSTEMS INC USHS 0001250074 GROSS STEVEN L 2951 KINWEST PARKWAY IRVING TX 75063 0 1 0 0 Executive VP & CMO Common Stock 2011-12-05 4 G 0 200 5.96 D 167815 I See Footnote 1. Includes 141,731 shares of common stock beneficially owned by Mr. Gross which are held by SSTCJ LLC, a limited liability company of which Steven L. Gross and his spouse Susan M. Gross are members and of which Mr. Gross is the manager and presently exercisable options owned by Mr. Gross to purchase 26,084 shares. /s/Steven L. Gross 2011-12-07