Filing Details

Accession Number:
0000914190-13-000182
Form Type:
4
Zero Holdings:
No
Publication Time:
2013-03-04 17:03:01
Reporting Period:
2013-03-01
Filing Date:
2013-03-04
Accepted Time:
2013-03-04 17:03:01
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1552800 Tile Shop Holdings Inc. TTS Retail-Home Furniture, Furnishings & Equipment Stores (5700) 455538095
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1505905 L Adam Suttin C/O Tile Shop Holdings, Inc.
14000 Carlson Parkway
Plymouth MN 55441
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Commnon Stock Acquisiton 2013-03-01 357,467 $11.50 679,958 No 4 X Direct
Common Stock Disposition 2013-03-01 230,301 $17.85 449,657 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 X Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Common Stock Warrants (Right to Buy) Disposition 2013-03-01 357,467 $0.00 357,467 $11.50
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
357,464 2012-09-20 2017-08-21 No 4 X Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 33,689 Indirect By Trust
Footnotes
  1. On March 1, 2013, the reporting person exercised a warrant to purchase 357,467 shares of Issuer common stock for $11.50 a share. The reporting person paid the exercise price on a cashless basis, resulting in the Issuer's withholding of 230,301 of the warrant shares to pay the exercise price and issuing to the reporting person the remaining 127,166 shares.
  2. These securities are owneed by the Adam L. Suttin Irrevocable Family Trust. The reporting person's spouse 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.