0001209191-15-052313.txt : 20150611 0001209191-15-052313.hdr.sgml : 20150611 20150611162920 ACCESSION NUMBER: 0001209191-15-052313 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150610 FILED AS OF DATE: 20150611 DATE AS OF CHANGE: 20150611 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LIFE TIME FITNESS, INC. CENTRAL INDEX KEY: 0001076195 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEMBERSHIP SPORTS & RECREATION CLUBS [7997] IRS NUMBER: 411689746 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2902 CORPORATE PLACE CITY: CHANHASSEN STATE: MN ZIP: 55317 BUSINESS PHONE: 952-229-7543 MAIL ADDRESS: STREET 1: 2902 CORPORATE PLACE CITY: CHANHASSEN STATE: MN ZIP: 55317 FORMER COMPANY: FORMER CONFORMED NAME: LIFE TIME FITNESS INC DATE OF NAME CHANGE: 19981231 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOZIKOWSKI TAMARA A CENTRAL INDEX KEY: 0001201534 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32230 FILM NUMBER: 15926305 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-06-10 0 0001076195 LIFE TIME FITNESS, INC. LTM 0001201534 KOZIKOWSKI TAMARA A 2902 CORPORATE PLACE CHANHASSEN MN 55317 0 1 0 0 EVP-Real Estate & Development Common Stock 2015-06-10 4 F 0 3283 0.00 D 54687 D Common Stock 2015-06-10 4 D 0 54687 72.10 D 0 D Price reflects per share consideration paid pursuant to the Agreement and Plan of Merger, dated March 15, 2015, among Life Time Fitness, Inc., LTF Holdings, Inc., and LTF Merger Sub, Inc. /s/ Brian Senger on behalf of Tami A. Kozikowski 2015-06-11