-----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, TeqcxRdhfyuJ6JS9TB44K9+8L5Tc0cNfRZKzUzAMFeh8TwsUwnybwm6OOJGAQrMM 414pQYSuPsM6MXeUOYmRXw== 0001209191-09-056080.txt : 20091209 0001209191-09-056080.hdr.sgml : 20091209 20091209091554 ACCESSION NUMBER: 0001209191-09-056080 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20091207 FILED AS OF DATE: 20091209 DATE AS OF CHANGE: 20091209 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Milford Scott R CENTRAL INDEX KEY: 0001476848 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52013 FILM NUMBER: 091230047 MAIL ADDRESS: STREET 1: C/O TOWN SPORTS INTERNATIONAL, LLC STREET 2: 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: 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 3 1 doc3.xml FORM 3 SUBMISSION X0203 3 2009-12-07 0 0001281774 TOWN SPORTS INTERNATIONAL HOLDINGS INC CLUB 0001476848 Milford Scott R 5 PENN PLAZA NEW YORK NY 10001 0 1 0 0 SVP-Human Resources Common Stock, par value $0.001 2649 D Stock Option (right to buy) 2.44 2018-12-04 Common Stock, par value $0.001 7000 D Of this amount, 2,250 shares are restricted stock, which vests in equal installments on December 4, 2010, 2011 and 2012. These options vest in four equal annual installments commencing on December 4, 2009, the first anniversary of the grant date. /s/ David Kastin for Scott Milford 2009-12-09 EX-24.3_308005 2 poa.txt POA DOCUMENT CONFIRMING STATEMENT This Statement confirms that the undersigned, Scott R. Milford, has authorized and designated David M. Kastin, Daniel Gallagher and Kieran Sikso to execute and file on the undersigned's behalf all Forms 3, 4, and 5 (including any amendments thereto) that the undersigned may be required to file with the U.S. Securities and Exchange Commission as a result of the undersigned's ownership of or transactions in securities of Town Sports International Holdings, Inc. The authority of David M. Kastin, Daniel Gallagher and Kieran Sikso under this Statement shall continue until the undersigned is no longer required to file Forms 3, 4, and 5 with regard to his ownership of or transactions in securities of Town Sports International Holdings, Inc., unless earlier revoked in writing. The undersigned acknowledges that David M. Kastin, Daniel Gallagher and Kieran Sikso are not assuming any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934. IN WITNESS WHEREOF, the undersigned has caused this Confirming Statement to be executed as of this 7th day of December, 2009 /s/ Scott Milford -----END PRIVACY-ENHANCED MESSAGE-----