0000921895-17-002811.txt : 20171207 0000921895-17-002811.hdr.sgml : 20171207 20171207181913 ACCESSION NUMBER: 0000921895-17-002811 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171204 FILED AS OF DATE: 20171207 DATE AS OF CHANGE: 20171207 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Spatafora Carolyn CENTRAL INDEX KEY: 0001606294 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36803 FILM NUMBER: 171245746 MAIL ADDRESS: STREET 1: 5 PENN PLAZA CITY: NEW YORK STATE: NY ZIP: 10001 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: 1001 US NORTH HIGHWAY 1 STREET 2: SUITE 201 CITY: JUPITER STATE: FL ZIP: 33477 BUSINESS PHONE: (212) 246-6700 MAIL ADDRESS: STREET 1: 399 EXECUTIVE BOULEVARD CITY: ELMSFORD STATE: NY ZIP: 10523 4 1 form411125spa_12072017.xml OWNERSHIP DOCUMENT X0306 4 2017-12-04 0 0001281774 TOWN SPORTS INTERNATIONAL HOLDINGS INC CLUB 0001606294 Spatafora Carolyn 1001 US NORTH HIGHWAY 1 SUITE 201 JUPITER FL 33477 0 1 0 0 Chief Financial Officer Common Stock, par value $0.001 2017-12-04 4 A 0 30000 0.00 A 230275 D These shares of restricted stock vest in three equal annual installments commencing on December 4, 2018, the first anniversary of the grant date. /s/ Marisa Lusthaus, Attorney-in-Fact 2017-12-07