-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, F2H6sA5/0AahiZDLTDWOL7hNzLyZJ+LXA4KXQ6XBkwhxcbrC1N7ZbXblC5g600IZ QlhnovnwAU2UNj2wvK7jpg== 0001209191-09-000263.txt : 20090105 0001209191-09-000263.hdr.sgml : 20090105 20090105085602 ACCESSION NUMBER: 0001209191-09-000263 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20081231 FILED AS OF DATE: 20090105 DATE AS OF CHANGE: 20090105 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TOWN SPORTS INTERNATIONAL HOLDINGS INC CENTRAL INDEX KEY: 0001281774 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEMBERSHIP SPORTS & RECREATION CLUBS [7997] IRS NUMBER: 200640002 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5 PENN PLAZA STREET 2: 4TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10001 BUSINESS PHONE: (212) 246-6700 MAIL ADDRESS: STREET 1: 5 PENN PLAZA STREET 2: 4TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10001 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GALLIGAN THOMAS J III CENTRAL INDEX KEY: 0001255287 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52013 FILM NUMBER: 09502496 BUSINESS ADDRESS: BUSINESS PHONE: (781) 461-1200 MAIL ADDRESS: STREET 1: C/O PAPA GINO'S, INC. STREET 2: 600 PROVIDENCE HIGHWAY CITY: DEDHAM STATE: MA ZIP: 02026 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2008-12-31 0 0001281774 TOWN SPORTS INTERNATIONAL HOLDINGS INC CLUB 0001255287 GALLIGAN THOMAS J III C/O PAPA GINO'S, INC. 600 PROVIDENCE HIGHWAY DEDHAM MA 02026 1 0 0 0 Common Stock, par value $0.001 2008-12-31 4 A 0 2351 0.00 A 5163 D Stock Option (right to buy) 3.21 2009-01-02 4 A 0 1000 0.00 A 2010-01-02 2019-01-02 Common Stock, par value $0.001 1000 1000 D These shares were issued pursuant to the Registrant's 2006 Stock Incentive Plan, as amended, as quarterly payment of the annual retainer payment to directors. This option was granted under the Issuer's 2006 Stock Incentive Plan. This option vests one year following the date of grant. /s/ David Kastin, Attorney-in-Fact 2009-01-05 -----END PRIVACY-ENHANCED MESSAGE-----