0000914190-16-000687.txt : 20160705 0000914190-16-000687.hdr.sgml : 20160705 20160705175434 ACCESSION NUMBER: 0000914190-16-000687 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160701 FILED AS OF DATE: 20160705 DATE AS OF CHANGE: 20160705 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: RUCKER ROBERT A CENTRAL INDEX KEY: 0001555206 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35629 FILM NUMBER: 161751802 MAIL ADDRESS: STREET 1: 14000 CARLSON PARKWAY CITY: PLYMOUTH STATE: MN ZIP: 55441 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2016-07-01 0001552800 TILE SHOP HOLDINGS, INC. TTS 0001555206 RUCKER ROBERT A C/O TILE SHOP HOLDINGS, INC. 14000 CARLSON PARKWAY PLYMOUTH MN 55441 1 0 1 0 Common Stock 2016-07-01 4 S 0 50000 19.81 D 5752428 I By The Tile Shop, Inc. Common Stock 257205 D The shares were sold pursuant to a Rule 10b5-1 trading plan. These securities are owned by TTS. The reporting person is the sole director of TTS. 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. Includes 7,205 shares of restricted stock granted pursuant to the Company's 2012 Omnibus Award Plan (previously reported), which are subject to a purchase option in favor of the Company until August 21, 2016. /s/ John R. Houston as Attorney-in-Fact for Robert Rucker pursuant to Power of Attorney previously filed. 2016-07-05