-----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, JIXZzNEi806QUZA7Wu37XeO8r8lrs7j8YuDR57rT0qMh29J2DyzdzfHTJXDOk9eW FYG8az44D+a4z0No4O16aA== 0001209191-09-058717.txt : 20091228 0001209191-09-058717.hdr.sgml : 20091225 20091228084440 ACCESSION NUMBER: 0001209191-09-058717 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091224 FILED AS OF DATE: 20091228 DATE AS OF CHANGE: 20091228 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: 000-52013 FILM NUMBER: 091260677 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: 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 2009-12-24 0 0001281774 TOWN SPORTS INTERNATIONAL HOLDINGS INC CLUB 0001255287 GALLIGAN THOMAS J III C/O PAPA GINO'S, INC. 600 PROVIDENCE HIGHWAY DEDHAM MA 02026 1 0 0 0 Common Stock, par value $0.001 2009-12-24 4 A 0 3112 0.00 A 15934 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 2009-12-28 -----END PRIVACY-ENHANCED MESSAGE-----