0001104659-22-030466.txt : 20220304
0001104659-22-030466.hdr.sgml : 20220304
20220304121756
ACCESSION NUMBER: 0001104659-22-030466
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: KINDER JOSEPH
CENTRAL INDEX KEY: 0001555217
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35629
FILM NUMBER: 22713058
MAIL ADDRESS:
STREET 1: C/O THE TILE SHOP, INC.
STREET 2: 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
tm228436-3_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2022-03-03
0
0001552800
TILE SHOP HOLDINGS, INC.
TTSH
0001555217
KINDER JOSEPH
C/O TILE SHOP HOLDINGS, INC.
14000 CARLSON PARKWAY
PLYMOUTH
MN
55441
0
1
0
0
See Remarks
Common Stock
2022-03-03
4
D
0
4565
0
D
70927
D
Common Stock
1100
I
By Spouse
Stock Option (Right to Buy)
8.5
2027-11-06
Common Stock
26900
26900
D
Stock Option (Right to Buy)
8.8
2028-07-20
Common Stock
50000
50000
D
Represents forfeiture of unvested performance-based restricted stock as a result of the applicable performance target not being achieved.
Includes (i) 42,741 shares of restricted stock for which the risks of forfeiture will lapse as to 14,247 shares on each of 3/16/22, 3/16/23 and 3/16/24; (ii) 7,607 shares of restricted stock for which the risks of forfeiture will lapse as to 2,535 shares on 3/15/22 and 2,536 shares on each of 3/15/23 and 3/15/24; and (iii) 10,649 shares of performance-based restricted stock for which the risks of forfeiture will lapse in three installments of 4,564 and 6,085 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. Kinder 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.
SVP, Supply Chain & Distribution
/s/ Joseph Kinder
2022-03-04