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Filing Details

Accession Number:: 0000914190-13-000398
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2013-06-11 18:36:48
Reporting Period:: 2013-05-03

Filing Date:: 2013-06-11
Accepted Time:: 2013-06-11 18:36:48
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
937541	H Peter Kamin	C/O Tile Shop Holdings, Inc. 14000 Carlson Parkway Plymouth MN 55441		Yes	No	No	No

Reported Non-Derivative Transactions

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Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Common Stock	Acquisiton	2013-05-03	37,005	$11.50	316,798	No	4	X	Indirect	By Peter H. Kamin Revocable Trust
Common Stock	Disposition	2013-05-03	20,284	$20.98	296,514	No	4	S	Indirect	By Peter H. Kamin Revocable Trust
Common Stock	Acquisiton	2013-05-03	22,200	$11.50	184,235	No	4	X	Indirect	By Peter H. Kamin Childrens Trust
Common Stock	Disposition	2013-05-03	12,169	$20.98	172,066	No	4	S	Indirect	By Peter H. Kamin Childrens Trust
Common Stock	Acquisiton	2013-05-03	13,304	$11.50	48,665	No	4	X	Indirect	By Peter H. Kamin GST Trust
Common Stock	Disposition	2013-05-03	7,293	$20.98	41,372	No	4	S	Indirect	By Peter H. Kamin GST Trust
Common Stock	Acquisiton	2013-05-03	14,799	$11.50	122,822	No	4	X	Indirect	By 3K Limited Partnership
Common Stock	Disposition	2013-05-03	8,112	$20.98	114,710	No	4	S	Indirect	By 3K Limited Partnership

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	X	Indirect	By Peter H. Kamin Revocable Trust
No	4	S	Indirect	By Peter H. Kamin Revocable Trust
No	4	X	Indirect	By Peter H. Kamin Childrens Trust
No	4	S	Indirect	By Peter H. Kamin Childrens Trust
No	4	X	Indirect	By Peter H. Kamin GST Trust
No	4	S	Indirect	By Peter H. Kamin GST Trust
No	4	X	Indirect	By 3K Limited Partnership
No	4	S	Indirect	By 3K Limited Partnership

Reported Derivative Transactions

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Sec. Name	Sec. Type	Acquisiton - Disposition	Date	Amount	Price	Amount - 2	Price - 2
Common Stock	Common Stock Warrants (Right to Buy)	Disposition	2013-05-03	37,005	$0.00	37,005	$11.50
Common Stock	Common Stock Warrants (Right to Buy)	Disposition	2013-05-03	22,200	$0.00	22,200	$11.50
Common Stock	Common Stock Warrants (Right to Buy)	Disposition	2013-05-03	13,304	$0.00	13,304	$11.50
Common Stock	Common Stock Warrants (Right to Buy	Disposition	2013-05-03	14,799	$0.00	14,799	$11.50

Exercise Date	Expiration Date	Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
2012-09-20	2017-08-21	No	4	X	Indirect
2012-09-20	2017-08-21	No	4	X	Indirect
2012-09-20	2017-08-21	No	4	X	Indirect
2012-09-20	2017-08-21	No	4	X	Indirect

Reported Non-Derivative Holdings

Sec. Name	Remaning Holdings	Nature of Ownership	Explanation
Common Stock	10,000	Direct
Common Stock	100	Indirect	By Son

Footnotes

These securities are owned by the reporting person's son. 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 Revocable Trust dated February 2003 (the "2003 Trust"). The reporting person is trustee of the 2003 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.
On May 3, 2013, the 2003 Trust exercised a warrant to purchase 37,005 shares of Issuer common stock for $11.50 a share. The 2003 Trust paid the exercise price on a cashless basis, resulting in the Issuer's withholding of 20,284 of the warrant shares to pay the exercise price and issuing to the 2003 Trust the remaining 16,721 shares.
These securities are owned by the Peter H. Kamin Childrens Trust dated March 1997 (the "1997 Trust"). The reporting person is trustee of the 1997 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.
On May 3, 2013, the 1997 Trust exercised a warrant to purchase 22,200 shares of Issuer common stock for $11.50 a share. The 1997 Trust paid the exercise price on a cashless basis, resulting in the Issuer's withholding of 12,169 of the warrant shares to pay the exercise price and issuing to the 1997 Trust the remaining 10,031 shares.
These securities are owned by the Peter H. Kamin GST Trust (the "GST Trust"). The reporting person is trustee of the GST 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.
On May 3, 2013, the GST Trust exercised a warrant to purchase 13,304 shares of Issuer common stock for $11.50 a share. The GST Trust paid the exercise price on a cashless basis, resulting in the Issuer's withholding of 7,293 of the warrant shares to pay the exercise price and issuing to the GST Trust the remaining 6,011 shares.
These securities are owned by the 3K Limited Partnership ("3K"). 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.
On May 3, 2013, 3K exercised a warrant to purchase 14,799 shares of Issuer common stock for $11.50 a share. 3K paid the exercise price on a cashless basis, resulting in the Issuer's withholding of 8,112 of the warrant shares to pay the exercise price and issuing to 3K the remaining 6,687 shares.