Peter J. Jacullo III - Dec 15, 2021 Form 4 Insider Report for TILE SHOP HOLDINGS, INC. (TTSH)

Role
Director, 10%+ Owner
Signature
/s/ Mark Davis as Attorney-in-Fact for Peter J. Jacullo III pursuant to Power of Attorney
Stock symbol
TTSH
Transactions as of
Dec 15, 2021
Transactions value $
$0
Form type
4
Date filed
12/16/2021, 07:35 PM
Previous filing
Jul 21, 2021
Next filing
Jun 16, 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction TTSH Common Stock Other -1.25M -28.15% 3.19M Dec 15, 2021 By JWTS, Inc. F1, F3
transaction TTSH Common Stock Other +1.03M +28% 4.71M Dec 15, 2021 By Irrevocable Trust F2, F3
holding TTSH Common Stock 473K Dec 15, 2021 Direct F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 These securities are owned by JWTS, Inc. The reporting person is the sole director of JWTS, Inc. The reporting person 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 the reporting person is the beneficial owner of such securities for Section 16 or any other purpose.
F2 These securities are owned by the Katherine D. Jacullo Children's 1993 Irrevocable Trust (the "Trust"). The reporting person is the co-trustee. The reporting person 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 the reporting person is the beneficial owner of such securities for Section 16 or any other purpose.
F3 JWTS, Inc. distributed 1,250,000 shares of the Company's common stock to its stockholders, pursuant to a pro rata distribution for no consideration. The Trust, as a stockholder of JWTS, Inc., received 1,029,500 shares of the Company's common stock in the distribution. The reported transaction is exempt from Section 16.
F4 Includes 14,477 shares of restricted stock granted pursuant to the Company's 2012 Omnibus Award 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) July 20, 2022.