0001104659-24-073744.txt : 20240621 0001104659-24-073744.hdr.sgml : 20240621 20240621074250 ACCESSION NUMBER: 0001104659-24-073744 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240618 FILED AS OF DATE: 20240621 DATE AS OF CHANGE: 20240621 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BONNEY MARK J CENTRAL INDEX KEY: 0001232607 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35629 FILM NUMBER: 241058355 MAIL ADDRESS: STREET 1: 2711 N. HASKELL AVENUE STREET 2: SUITE 2300 CITY: DALLAS STATE: TX ZIP: 74204 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TILE SHOP HOLDINGS, INC. CENTRAL INDEX KEY: 0001552800 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-HOME FURNITURE, FURNISHINGS & EQUIPMENT STORES [5700] ORGANIZATION NAME: 07 Trade & Services 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 tm2417589-1_4seq1.xml OWNERSHIP DOCUMENT X0508 4 2024-06-18 0 0001552800 TILE SHOP HOLDINGS, INC. TTSH 0001232607 BONNEY MARK J C/O TILE SHOP HOLDINGS, INC. 14000 CARLSON PARKWAY PLYMOUTH MN 55441 1 0 0 0 0 Common Stock 2024-06-18 4 A 0 10593 6.6083 A 115814 D Represents shares of restricted stock granted pursuant to the Company's 2021 Omnibus Equity Compensation 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) June 18, 2025. /s/ Mark Davis as Attorney-in-Fact for Mark J. Bonney pursuant to Power of Attorney 2024-06-21