-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, R088/ktDlFxdwzoaukQErcwtb217AQQZ2YKiBZGwWxLlomPr55nDu11/HPMaOiUv ftM+Uu25msK4Kuh88CjsrQ== 0001209191-09-033753.txt : 20090625 0001209191-09-033753.hdr.sgml : 20090625 20090625162912 ACCESSION NUMBER: 0001209191-09-033753 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090624 FILED AS OF DATE: 20090625 DATE AS OF CHANGE: 20090625 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FISH JASON M CENTRAL INDEX KEY: 0000883959 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52013 FILM NUMBER: 09910086 MAIL ADDRESS: STREET 1: C/O CAPITALSOURCE HOLDINGS LLC STREET 2: 4455 WILLARD AVENUE, 12TH FLOOR CITY: CHEVY CHASE STATE: MD ZIP: 20815 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 4 1 doc4.xml FORM 4 SUBMISSION X0303 4 2009-06-24 0 0001281774 TOWN SPORTS INTERNATIONAL HOLDINGS INC CLUB 0000883959 FISH JASON M ONE MARITIME PLAZA SAN FRANCISCO CA 94111 1 0 0 0 Common Stock, par value $0.001 2009-06-24 4 A 0 1333 0.00 A 6706 D These shares were issued pursuant to the Registrant's 2006 Stock Incentive Plan, as amended, as quarterly payment of the annual retainer payment to directors. /s/ David Kastin, Attorney-in-Fact 2009-06-25 -----END PRIVACY-ENHANCED MESSAGE-----