JACULLO PETER J III 4
4 · TILE SHOP HOLDINGS, INC. · Filed Dec 16, 2021
Insider Transaction Report
Form 4
JACULLO PETER J III
Director10% Owner
Transactions
- Other
Common Stock
2021-12-15+1,029,500→ 4,706,489 total(indirect: By Trust) - Other
Common Stock
2021-12-15−1,250,000→ 3,191,180 total(indirect: By JWTS, Inc.)
Holdings
- 473,210
Common Stock
Footnotes (4)
- [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.