0000914190-16-000791.txt : 20160824
0000914190-16-000791.hdr.sgml : 20160824
20160824174432
ACCESSION NUMBER: 0000914190-16-000791
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160822
FILED AS OF DATE: 20160824
DATE AS OF CHANGE: 20160824
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: 763-852-2978
MAIL ADDRESS:
STREET 1: 14000 CARLSON PARKWAY
CITY: PLYMOUTH
STATE: MN
ZIP: 55441
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LIVINGSTON PHILIP B
CENTRAL INDEX KEY: 0001020149
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-ADVERTISING AGENCIES [7311]
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0331
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35629
FILM NUMBER: 161850088
MAIL ADDRESS:
STREET 1: 1241 EAST MAIN ST
CITY: STAMFORD
STATE: CT
ZIP: 06902
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2016-08-22
0001552800
TILE SHOP HOLDINGS, INC.
TTS
0001020149
LIVINGSTON PHILIP B
C/O TILE SHOP HOLDINGS, INC.
14000 CARLSON PARKWAY
PLYMOUTH
MN
55441
1
0
0
0
Common Stock
2016-08-22
4
A
0
8323
0
A
15461
D
Represents 8,323 shares of restricted stock granted pursuant to the Company's 2012 Omnibus Award Plan, which are subject to a purchase option in favor of the Company until the earlier of (a) the date of the Company's next annual meeting of stockholders and (2) August 22, 2017.
/s/ Amanda Lorentz as Attorney-in-Fact for Philip B. Livingston pursuant to Power of Attorney previously filed.
2016-08-24