0001235802-21-000030.txt : 20210503
0001235802-21-000030.hdr.sgml : 20210503
20210503163338
ACCESSION NUMBER: 0001235802-21-000030
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210429
FILED AS OF DATE: 20210503
DATE AS OF CHANGE: 20210503
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: 21884012
MAIL ADDRESS:
STREET 1: 14000 CARLSON PARKWAY
CITY: PLYMOUTH
STATE: MN
ZIP: 55441
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TILE SHOP, INC.
CENTRAL INDEX KEY: 0001555223
STATE OF INCORPORATION: MN
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35629
FILM NUMBER: 21884011
BUSINESS ADDRESS:
STREET 1: 15236 BOULDER POINTE ROAD
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55347
BUSINESS PHONE: 612-963-1235
MAIL ADDRESS:
STREET 1: 15236 BOULDER POINTE ROAD
CITY: EDEN PRAIRIE
STATE: MN
ZIP: 55347
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
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2021-04-29
1
0001552800
TILE SHOP HOLDINGS, INC.
TTSH
0001555206
RUCKER ROBERT A
15236 BOULDER POINTE ROAD
EDEN PRAIRIE, MN
MN
55347
0
0
0
1
Reported Voluntarily
0001555223
TILE SHOP, INC.
15236 BOULDER POINTE ROAD
EDEN PRAIRIE
MN
55347
0
0
0
1
Reported Voluntarily
Common Stock
2021-04-29
4
S
0
18508
7.25
D
2503668
I
By The Tile Shop, Inc.
Common Stock
2021-04-30
4
S
0
37600
7.1
D
2466068
I
By The Tile Shop, Inc.
Common Stock
38329
D
Common Stock
6550
I
By UGMA #5
The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $7.20 to $7.489802, inclusive. The reporting person undertakes to provide to Tile Shop Holdings, Inc., any security holder of Tile Shop Holdings, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the ranges set forth in this footnote (1) to this Form 4.
These securities are owned by The Tile Shop, Inc. Mr. Rucker is the sole director of The Tile Shop, Inc. Mr. Rucker 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 Mr. Rucker is the beneficial owner of such securities for Section 16 or any other purpose.
The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $7.00 to $7.365, inclusive. The reporting person undertakes to provide to Tile Shop Holdings, Inc., any security holder of Tile Shop Holdings, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the ranges set forth in this footnote (3) to this Form 4.
/s/ Robert A. Rucker
2021-05-03
/s/ Robert A. Rucker, President, Tile Shop, Inc.
2021-05-03