0000921895-19-000671.txt : 20190306 0000921895-19-000671.hdr.sgml : 20190306 20190306170027 ACCESSION NUMBER: 0000921895-19-000671 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190305 FILED AS OF DATE: 20190306 DATE AS OF CHANGE: 20190306 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ajmera Nitin CENTRAL INDEX KEY: 0001607717 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36803 FILM NUMBER: 19663222 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 form411125ajm_03062019.xml OWNERSHIP DOCUMENT X0306 4 2019-03-05 0 0001281774 TOWN SPORTS INTERNATIONAL HOLDINGS INC CLUB 0001607717 Ajmera Nitin 1001 US NORTH HIGHWAY 1, SUITE 201 JUPITER FL 33477 0 1 0 0 SVP - Controller Common Stock, par value $0.001 2019-03-05 4 S 0 723 5.42 D 52863 D Represents shares of Town Sports International Holdings, Inc. common stock sold to satisfy income tax withholding obligations in connection with the vesting of restricted stock. /s/ Nitin Ajmera 2019-03-06