TILE SHOP HOLDINGS, INC. — Director's Dealing 2021

Jul 21, 2021

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: TILE SHOP HOLDINGS, INC. (TTSH)
CIK: 0001552800
Period of Report: 2021-07-20

Reporting Person: JACULLO PETER J III (Director, 10% Owner)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2021-07-20	Common Stock	A	14477	—	Acquired	473210	Direct

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	4441180	Indirect
Common Stock	3676989	Indirect

Footnotes

F1: Represents 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.

F2: 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.

F3: These securities are owned by the Katherine D. Jacullo Children's 1993 Irrevocable 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.