0000921895-16-006333.txt : 20161214
0000921895-16-006333.hdr.sgml : 20161214
20161214161134
ACCESSION NUMBER: 0000921895-16-006333
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161212
FILED AS OF DATE: 20161214
DATE AS OF CHANGE: 20161214
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: PW Partners Capital Management LLC
CENTRAL INDEX KEY: 0001594107
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36803
FILM NUMBER: 162051241
BUSINESS ADDRESS:
STREET 1: 141 W. JACKSON BLVD., SUITE 1702
CITY: CHICAGO
STATE: IL
ZIP: 60604
BUSINESS PHONE: (312) 347-1709
MAIL ADDRESS:
STREET 1: 141 W. JACKSON BLVD., SUITE 1702
CITY: CHICAGO
STATE: IL
ZIP: 60604
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PW Partners Atlas Funds, LLC
CENTRAL INDEX KEY: 0001594105
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36803
FILM NUMBER: 162051242
BUSINESS ADDRESS:
STREET 1: 141 W. JACKSON BLVD., SUITE 1702
CITY: CHICAGO
STATE: IL
ZIP: 60604
BUSINESS PHONE: (312) 347-1709
MAIL ADDRESS:
STREET 1: 141 W. JACKSON BLVD., SUITE 1702
CITY: CHICAGO
STATE: IL
ZIP: 60604
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PW Partners Atlas Fund III, LP
CENTRAL INDEX KEY: 0001618192
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36803
FILM NUMBER: 162051243
BUSINESS ADDRESS:
STREET 1: 141 W. JACKSON BLVD., SUITE 1702
CITY: CHICAGO
STATE: IL
ZIP: 60604
BUSINESS PHONE: 312-347-1709
MAIL ADDRESS:
STREET 1: 141 W. JACKSON BLVD., SUITE 1702
CITY: CHICAGO
STATE: IL
ZIP: 60604
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Walsh Patrick
CENTRAL INDEX KEY: 0001508045
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36803
FILM NUMBER: 162051244
MAIL ADDRESS:
STREET 1: 141 W. JACKSON BLVD.
STREET 2: STE. 1702
CITY: CHICAGO
STATE: IL
ZIP: 60604
4
1
form408800007_12142016.xml
OWNERSHIP DOCUMENT
X0306
4
2016-12-12
0
0001281774
TOWN SPORTS INTERNATIONAL HOLDINGS INC
CLUB
0001508045
Walsh Patrick
141 W. JACKSON BLVD.
STE. 1702
CHICAGO
IL
60604
1
1
1
0
Chief Executive Officer
0001618192
PW Partners Atlas Fund III, LP
141 W. JACKSON BLVD.
STE. 1702
CHICAGO
IL
60604
0
0
1
0
0001594105
PW Partners Atlas Funds, LLC
141 W. JACKSON BLVD.
STE. 1702
CHICAGO
IL
60604
0
0
1
0
0001594107
PW Partners Capital Management LLC
141 W. JACKSON BLVD.
STE. 1702
CHICAGO
IL
60604
0
0
1
0
Common Stock, $0.001 par value
2016-12-12
4
A
0
500000
0
A
999294
D
Common Stock, $0.001 par value
3450536
I
By PW Partners Atlas Fund III LP
This Form 4 is filed jointly by PW Partners Atlas Fund III LP ("Atlas Fund III"), PW Partners Atlas Funds, LLC ("Atlas Fund GP"), PW Partners Capital Management LLC ("PW Capital Management") and Patrick Walsh (collectively, the "Reporting Persons"). Each of the Reporting Persons may be deemed to be a member of a Section 13(d) group that collectively beneficially owns more than 10% of the Issuer's outstanding shares of Common Stock. Each of the Reporting Persons disclaims beneficial ownership of the securities reported herein except to the extent of his or its pecuniary interest therein.
Represents securities owned directly by Atlas Fund III. As the General Partner of Atlas Fund III, Atlas Fund GP may be deemed to beneficially own the securities owned directly by Atlas Fund III. As the Investment Manager of Atlas Fund III, PW Capital Management may be deemed to beneficially own the securities owned directly by Atlas Fund III. As the Managing Member of PW Capital Management and the Managing Member and Chief Executive Officer of Atlas Fund GP, Mr. Walsh may be deemed to beneficially own the securities owned directly by Atlas Fund III.
Represents 500,000 shares of restricted stock that were issued to Mr. Walsh under the Issuer's Amended and Restated 2006 Stock Incentive Plan. The shares of restricted stock will vest in three equal annual installments commencing on December 12, 2017, the first anniversary of the grant date.
By: /s/ Patrick Walsh
2016-12-14
By: PW Partners Atlas Fund III LP, By: PW Partners Atlas Funds, LLC, General Partner, By: /s/ Patrick Walsh, Managing Member and Chief Executive Officer
2016-12-14
By: PW Partners Atlas Funds, LLC, By: /s/ Patrick Walsh, Managing Member and Chief Executive Officer
2016-12-14
By: PW Partners Capital Management LLC, By: /s/ Patrick Walsh, Managing Member
2016-12-14