0001104659-22-030459.txt : 20220304
0001104659-22-030459.hdr.sgml : 20220304
20220304121346
ACCESSION NUMBER: 0001104659-22-030459
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220303
FILED AS OF DATE: 20220304
DATE AS OF CHANGE: 20220304
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lolmaugh Cabell
CENTRAL INDEX KEY: 0001731797
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35629
FILM NUMBER: 22713047
MAIL ADDRESS:
STREET 1: C/O 14000 CARLSON PARKWAY
CITY: PLYMOUTH
STATE: MN
ZIP: 55441
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: 763-852-2950
MAIL ADDRESS:
STREET 1: 14000 CARLSON PARKWAY
CITY: PLYMOUTH
STATE: MN
ZIP: 55441
4
1
tm228436-1_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2022-03-03
0
0001552800
TILE SHOP HOLDINGS, INC.
TTSH
0001731797
Lolmaugh Cabell
C/O TILE SHOP HOLDINGS, INC.
14000 CARLSON PARKWAY
PLYMOUTH
MN
55441
1
1
0
0
Chief Executive Officer
Common Stock
2022-03-03
4
D
0
9129
0
D
164789
D
Stock Option (Right to Buy)
10
2022-08-21
Common Stock
2750
2750
D
Stock Option (Right to Buy)
14.19
2022-07-14
Common Stock
1613
1613
D
Stock Option (Right to Buy)
8.5
2027-11-06
Common Stock
26900
26900
D
Stock Option (Right to Buy)
5.55
2028-02-22
Common Stock
56000
56000
D
Stock Option (Right to Buy)
6.26
2029-02-20
Common Stock
97067
97067
D
Represents forfeiture of unvested performance-based restricted stock as a result of the applicable performance target not being achieved.
Includes (i) 85,482 shares of restricted stock for which the risks of forfeiture will lapse as to 28,494 shares on each of 3/16/22, 3/16/23 and 3/16/24; (ii) 15,214 shares of restricted stock for which the risks of forfeiture will lapse as to 5,071 shares on each of 3/15/22 and 3/15/23 and 5,072 shares on 3/15/24; and (iii) 21,299 shares of performance-based restricted stock for which the risks of forfeiture will lapse in three installments of 9,128 and 12,171 on each of the dates that the Issuer files its annual report for the years ending December 31, 2022 and 2023, respectively, subject to Mr. Lolmaugh remaining in continuous employment with the Issuer prior to and as of December 31 of the year preceding the applicable vesting date and the Issuer achieving its performance target for each respective year.
Fully exercisable.
Options to purchase 24,267 shares vest on 2/20/23.
/s/ Cabell Lolmaugh
2022-03-04