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

Signature
/s/ Mark Davis as Attorney-in-Fact for Peter J. Jacullo III pursuant to Power of Attorney
Issuer symbol
TTSH
Transactions as of
15 Dec 2021
Net transactions value
$0
Form type
4
Filing time
16 Dec 2021, 19:35:25 UTC
Previous filing
21 Jul 2021
Next filing
16 Jun 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction TTSH Common Stock Other -1,250,000 -28% 3,191,180 15 Dec 2021 By JWTS, Inc. F1, F3
transaction TTSH Common Stock Other +1,029,500 +28% 4,706,489 15 Dec 2021 By Irrevocable Trust F2, F3
holding TTSH Common Stock 473,210 15 Dec 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.