0000921895-20-001005.txt : 20200403
0000921895-20-001005.hdr.sgml : 20200403
20200403170107
ACCESSION NUMBER: 0000921895-20-001005
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200323
FILED AS OF DATE: 20200403
DATE AS OF CHANGE: 20200403
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Juhan Phillip
CENTRAL INDEX KEY: 0001808488
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36803
FILM NUMBER: 20774347
MAIL ADDRESS:
STREET 1: 1001 US NORTH HIGHWAY 1, SUITE 201
CITY: JUPITER
STATE: FL
ZIP: 33477
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
3
1
form311125001_04032020.xml
OWNERSHIP DOCUMENT
X0206
3
2020-03-23
0
0001281774
TOWN SPORTS INTERNATIONAL HOLDINGS INC
CLUB
0001808488
Juhan Phillip
1001 US NORTH HIGHWAY 1, SUITE 201
JUPITER
FL
33477
0
1
0
0
Chief Financial Officer
Common Stock, par value $0.001
159156
D
Represents the aggregate of (i) 133,129 shares of restricted stock of the Issuer issued to the Reporting Person under the Issuer's Amended and Restated 2006 Stock Incentive Plan and (ii) 26,027 shares of stock of the Issuer purchased by the Reporting Person under the Issuer's 2018 Management Stock Purchase Plan. The Reporting Person was granted 5,000 shares of restricted stock on January 21, 2019, 10,941 shares of restricted stock on April 2, 2019 and 117,188 shares of restricted stock on December 13, 2019. In each case, the shares of restricted stock will vest in three equal annual installments commencing on the first anniversary of their respective grant date.
/s/ Phillip Juhan
2020-04-02