0000921895-19-000220.txt : 20190205 0000921895-19-000220.hdr.sgml : 20190205 20190205195414 ACCESSION NUMBER: 0000921895-19-000220 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190201 FILED AS OF DATE: 20190205 DATE AS OF CHANGE: 20190205 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: 19569564 MAIL ADDRESS: STREET 1: C/O PAPA GINO'S, INC. STREET 2: 600 PROVIDENCE HIGHWAY CITY: DEDHAM STATE: MA ZIP: 02026 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 form411125gal_02052019.xml OWNERSHIP DOCUMENT X0306 4 2019-02-01 0 0001281774 TOWN SPORTS INTERNATIONAL HOLDINGS INC CLUB 0001255287 GALLIGAN THOMAS J III C/O TOWN SPORTS INTERNATIONAL HOLDINGS 1001 US NORTH HIGHWAY 1, SUITE 201 JUPITER FL 33477 1 0 0 0 Common Stock, par value $0.001 2019-02-01 4 A 0 13423 0.00 A 189375 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. Exhibit 24 - Power of Attorney /s/ Jeffrey Spindler, Attorney-in-Fact 2019-02-05