0001209191-17-007556.txt : 20170203 0001209191-17-007556.hdr.sgml : 20170203 20170203160512 ACCESSION NUMBER: 0001209191-17-007556 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170201 FILED AS OF DATE: 20170203 DATE AS OF CHANGE: 20170203 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: 001-36803 FILM NUMBER: 17572116 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 X0306 4 2017-02-01 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 2017-02-01 4 A 0 14235 0.00 A 148837 D These shares were issued pursuant to the Registrant's 2006 Stock Incentive Plan, as amended, as the annual award of shares to directors pursuant to the Amended and Restated Non-Employee Director Compensation Plan. /s/ Thomas J Galligan III 2016-02-03