0000914190-19-000403.txt : 20191107
0000914190-19-000403.hdr.sgml : 20191107
20191107191439
ACCESSION NUMBER: 0000914190-19-000403
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191105
FILED AS OF DATE: 20191107
DATE AS OF CHANGE: 20191107
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kamin Peter
CENTRAL INDEX KEY: 0000937541
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35629
FILM NUMBER: 191201748
MAIL ADDRESS:
STREET 1: 2720 DONALD ROSS ROAD
STREET 2: #311
CITY: PALM BEACH GARDENS
STATE: FL
ZIP: 33410
FORMER NAME:
FORMER CONFORMED NAME: KAMIN PETER H
DATE OF NAME CHANGE: 19950210
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
edgar.xml
PRIMARY DOCUMENT
X0306
4
2019-11-05
0001552800
TILE SHOP HOLDINGS, INC.
TTS
0000937541
Kamin Peter
C/O TILE SHOP HOLDINGS, INC.
14000 CARLSON PARKWAY
PLYMOUTH
MN
55441
1
0
1
0
Common Stock
2019-11-05
4
P
0
31962
1.67
A
3232654
D
Common Stock
2019-11-06
4
P
0
20740
1.75
A
3253394
D
Common Stock
2019-11-05
4
P
0
15492
1.67
A
1683660
I
By Peter H. Kamin Revocable Trust
Common Stock
2019-11-06
4
P
0
10948
1.75
A
1694608
I
By Peter H. Kamin Revocable Trust
Common Stock
2019-11-05
4
P
0
9662
1.67
A
1026768
I
By Peter H. Kamin Childrens Trust
Common Stock
2019-11-06
4
P
0
6794
1.75
A
1033562
I
By Peter H. Kamin Childrens Trust
Common Stock
2019-11-05
4
P
0
2288
1.67
A
331789
I
By 3K Limited Partnership
Common Stock
2019-11-06
4
P
0
1518
1.75
A
333307
I
By 3K Limited Partnership
Common Stock
97453
I
By Peter H. Kamin Family Foundation
Common Stock
328711
I
By Peter H. Kamin GST Trust
The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $1.71 to $1.65 inclusive. The reporting person undertakes to provide 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 purchased at each separate price within the range set forth in this footnote.
Includes 21,499 shares of restricted stock granted pursuant to the Company's 2012 Omnibus Award Plan, which are subject to a risk of forfeiture until the earlier of (a) the date of the Company's next annual meeting of stockholders and (b) July 16, 2020.
These securities are owned by the Peter H. Kamin Revocable Trust dated February 2003. The reporting person is trustee of the trust. 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.
These securities are owned by the Peter H. Kamin Childrens Trust dated March 1997. The reporting person is trustee of the trust. 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.
These securities are owned by the 3K Limited Partnership. The reporting person is general partner of the limited partnership. 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.
These securities are owned by the Peter H. Kamin Family Foundation. The reporting person is trustee of the foundation. 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.
These securities are owned by the Peter H. Kamin GST Trust. The reporting person is trustee of the trust. 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/ Peter H. Kamin
2019-11-07