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Filing Details

Accession Number:: 0000914190-19-000403
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2019-11-07 19:14:39
Reporting Period:: 2019-11-05

Accepted Time:: 2019-11-07 19:14:39
SEC Url:: Form 4 Filing

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1552800	Tile Shop Holdings Inc.	TTS	()	DE

Insiders

Cik	Name	Reported Address	Insider Title	Director	Officer	Large Shareholder	Other
937541	Peter Kamin	C/O Tile Shop Holdings, Inc. 14000 Carlson Parkway Plymouth MN 55441		Yes	No	Yes	No

Reported Non-Derivative Transactions

Show Other Fields >>

Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Common Stock	Acquisiton	2019-11-05	31,962	$1.67	3,232,654	No	4	P	Direct
Common Stock	Acquisiton	2019-11-06	20,740	$1.75	3,253,394	No	4	P	Direct
Common Stock	Acquisiton	2019-11-05	15,492	$1.67	1,683,660	No	4	P	Indirect	By Peter H. Kamin Revocable Trust
Common Stock	Acquisiton	2019-11-06	10,948	$1.75	1,694,608	No	4	P	Indirect	By Peter H. Kamin Revocable Trust
Common Stock	Acquisiton	2019-11-05	9,662	$1.67	1,026,768	No	4	P	Indirect	By Peter H. Kamin Childrens Trust
Common Stock	Acquisiton	2019-11-06	6,794	$1.75	1,033,562	No	4	P	Indirect	By Peter H. Kamin Childrens Trust
Common Stock	Acquisiton	2019-11-05	2,288	$1.67	331,789	No	4	P	Indirect	By 3K Limited Partnership
Common Stock	Acquisiton	2019-11-06	1,518	$1.75	333,307	No	4	P	Indirect	By 3K Limited Partnership

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

Reported Non-Derivative Holdings

Sec. Name	Remaning Holdings	Nature of Ownership	Explanation
Common Stock	97,453	Indirect	By Peter H. Kamin Family Foundation
Common Stock	328,711	Indirect	By Peter H. Kamin GST Trust

Footnotes

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.