Initial Statement of Beneficial Ownership (3)
January 10 2023 - 04:32PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE
COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP
OF SECURITIES
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OMB
APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response... 0.5 |
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Filed pursuant to Section 16(a) of the
Securities Exchange Act of 1934 or Section 30(h) of the Investment
Company Act of 1940
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1. Name
and Address of Reporting Person * Fund 1 Investments,
LLC |
2. Date of Event Requiring Statement
(MM/DD/YYYY)
3/21/2022
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3. Issuer Name and Ticker or Trading
Symbol TILLY'S, INC. [TLYS] |
(Last)
(First)
(Middle)
100 CARR 115, UNIT 1900 |
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director ___X___
10% Owner
_____ Officer (give title
below) _____
Other (specify below)
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(Street)
RINCON, PR 00677
(City)
(State)
(Zip)
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5. If Amendment, Date Original
Filed(MM/DD/YYYY)
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6. Individual or Joint/Group
Filing(Check Applicable Line)
___ Form filed by One Reporting Person
_X_ Form filed by More than One Reporting Person |
Table I - Non-Derivative Securities Beneficially
Owned
|
1.Title of Security
(Instr. 4) |
2. Amount of Securities Beneficially Owned
(Instr. 4) |
3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5) |
4. Nature of Indirect Beneficial Ownership
(Instr. 5) |
Class A Common Stock |
1230890 |
I |
See Footnotes (1)(2) |
Class A Common Stock |
1027629 |
I |
See Footnotes (1)(3) |
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
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1. Title of Derivate Security
(Instr. 4) |
2. Date Exercisable and Expiration Date
(MM/DD/YYYY) |
3. Title and Amount of Securities Underlying
Derivative Security
(Instr. 4) |
4. Conversion or Exercise Price of Derivative
Security |
5. Ownership Form of Derivative Security: Direct (D)
or Indirect (I)
(Instr. 5) |
6. Nature of Indirect Beneficial Ownership
(Instr. 5) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Explanation of
Responses: |
(1) |
Shares reported herein are
held for the benefit of Pleasant Lake Onshore Feeder Fund, LP (the
"PL Fund") and an additional private investment vehicle for which
Pleasant Lake Partners LLC ("PLP") serves as investment adviser.
Fund 1 Investments, LLC serves as managing member of PLP. Jonathan
Lennon serves as managing member of Fund 1 Investments, LLC. Each
of the Reporting Persons disclaims beneficial ownership of the
shares reported herein except to the extent of its or his pecuniary
interest therein. |
(2) |
Shares held for the account
of the PL Fund. |
(3) |
Shares held for the account
of an unaffiliated private fund for which PLP serves as investment
adviser. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Fund 1 Investments, LLC
100 CARR 115
UNIT 1900
RINCON, PR 00677 |
|
X |
|
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Pleasant Lake Onshore Feeder Fund LP
100 CARR 115
UNIT 1900
RINCON, PR 00677 |
|
X |
|
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Pleasant Lake Partners LLC
100 CARR 115
UNIT 1900
RINCON, PR 00677 |
|
X |
|
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Signatures
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/s/ Fund 1 Investments, LLC By: Benjamin C.
Cable, Chief Operating Officer |
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1/10/2023 |
**Signature of Reporting
Person |
Date |
/s/ Pleasant Lake Onshore Feeder Fund, LP, by
Pleasant Lake Partners LLC, its Investment Adviser, by Fund 1
Investments, LLC, its Managing Member, by Benjamin C. Cable, Chief
Operating Officer |
|
1/10/2023 |
**Signature of Reporting
Person |
Date |
/s/ Pleasant Lake Partners LLC, by Fund 1
Investments, LLC, its Managing Member, by Benjamin C. Cable, Chief
Operating Officer |
|
1/10/2023 |
**Signature of Reporting
Person |
Date |
Reminder: Report on a separate line for each class
of securities beneficially owned directly or
indirectly. |
* |
If the form is filed by more than one
reporting person, see Instruction 5(b)(v). |
** |
Intentional misstatements or omissions
of facts constitute Federal Criminal Violations. See 18
U.S.C. 1001 and 15 U.S.C. 78ff(a). |
Note: |
File three copies of this Form, one of
which must be manually signed. If space is insufficient, see
Instruction 6 for procedure. |
Persons who respond to the collection of information
contained in this form are not required to respond unless the form
displays a currently valid OMB control number. |
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