0001104659-22-071714.txt : 20220616
0001104659-22-071714.hdr.sgml : 20220616
20220616095834
ACCESSION NUMBER: 0001104659-22-071714
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211203
FILED AS OF DATE: 20220616
DATE AS OF CHANGE: 20220616
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Glasser Deborah K
CENTRAL INDEX KEY: 0001812126
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35629
FILM NUMBER: 221019578
MAIL ADDRESS:
STREET 1: C/O TILE SHOP HOLDINGS, 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
tm2218509-2_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2021-12-03
0
0001552800
TILE SHOP HOLDINGS, INC.
TTSH
0001812126
Glasser Deborah K
C/O TILE SHOP HOLDINGS, INC
14000 CARLSON PARKWAY
PLYMOUTH
MN
55441
1
0
0
0
Common Stock
2021-12-03
4
P
0
266
7.63
A
3384
I
By Spouse
Common Stock
2022-06-14
4
A
0
24943
0
A
123269
D
Includes 9,037 shares held in account jointly with spouse.
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 14, 2023.
/s/ Mark Davis as Attorney-in-Fact for Deborah K. Glasser pursuant to Power of Attorney
2022-06-16