0001104659-23-033464.txt : 20230316
0001104659-23-033464.hdr.sgml : 20230316
20230316203836
ACCESSION NUMBER: 0001104659-23-033464
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230315
FILED AS OF DATE: 20230316
DATE AS OF CHANGE: 20230316
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: 23740471
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
tm239848-2_4seq1.xml
OWNERSHIP DOCUMENT
X0306
4
2023-03-15
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
2023-03-15
4
F
0
1819
4.63
D
238647
D
Common Stock
2023-03-16
4
F
0
9606
4.77
D
229041
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
The reporting person has elected to satisfy his tax withholding obligation in connection with the vesting of a prior restricted stock grant by directing the Issuer to withhold shares otherwise issuable upon vesting of the previously reported grant.
Includes (i) 28,494 shares of restricted stock for which the risks of forfeiture will lapse on 3/16/24; (ii) 5,081 shares of restricted stock for which the risks of forfeiture will lapse on 3/15/24; (iii) 10,274 shares of restricted stock for which the risks of forfeiture will lapse in equal annual installments on each of 3/7/24 and 3/7/25; (iv) 18,520 shares of restricted stock for which the risks of forfeiture will lapse in equal annual installments on each of 3/6/24, 3/6/25 and 3/6/26; and
(v) the following shares of performance-based restricted stock, which are, in each case, subject to Mr. Lolmaugh remaining in continuous employment with the Issuer through December 31 of the year preceding the applicable vesting date and the Issuer achieving its performance target for each respective year: (A) 12,171 shares for which the risks of forfeiture will lapse on the date the Issuer files its annual report for the 2023 fiscal year; (B) 21,576 shares for which the risks of forfeiture will lapse as to 30% and 40% of the initial number of shares granted on each of the dates the Issuer files its annual report for the 2023 and 2024 fiscal years, respectively; and (C) 37,039 shares for which the risks of forfeiture will lapse as to 30%, 30% and 40% on each of the dates the Issuer files its annual report for the 2023, 2024 and 2025 fiscal years, respectively. The Issuer's proxy statement contains additional information regarding the applicable performance targets.
Fully exercisable.
/s/ Cabell Lolmaugh
2023-03-16