0001209191-11-017918.txt : 20110315 0001209191-11-017918.hdr.sgml : 20110315 20110315080555 ACCESSION NUMBER: 0001209191-11-017918 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110311 FILED AS OF DATE: 20110315 DATE AS OF CHANGE: 20110315 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRUCKMANN BRUCE CENTRAL INDEX KEY: 0001083166 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52013 FILM NUMBER: 11687105 MAIL ADDRESS: STREET 1: C/O MOHAWK INDUSTRIES INC STREET 2: P O BOX 12069 CITY: CALHOUN STATE: GA ZIP: 30703 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 2011-03-11 0 0001281774 TOWN SPORTS INTERNATIONAL HOLDINGS INC CLUB 0001083166 BRUCKMANN BRUCE C/O BRUCKMANN, ROSSER, SHERRILL & CO. 126 EAST 56TH STREET, 29TH FLOOR NEW YORK NY 10022 1 0 1 0 Common Stock, par value $0.001 2011-03-11 4 P 0 5802 4.59 A 994522 D Common Stock, par value $0.001 2011-03-11 4 P 0 21500 4.60 A 1016022 D Common Stock, par value $0.001 8238 I BCB Family Partners, L.P. Common Stock, par value $0.001 354077 I Held by a trust. Common Stock, par value $0.001 3975 I Held by NAZ Family Partners, L.P. Common Stock, par value $0.001 5747 I Held by Nancy A. Zweng These shares are held by BCB Family Partners, L.P., of which the Reporting Person is the general partner. These shares are held in a trust for the benefit of the Reporting Person's children. The Reporting Person's former spouse is the trustee of the trust. The Reporting Person disclaims beneficial ownership of these shares. The Reporting Person may be deemed to share beneficial ownership of shares held by NAZ Family Partners, L.P. by virtue of his holding power of attorney for NAZ Family Partners, L.P. The Reporting Person disclaims beneficial ownership of any shares help by NAZ Family Partners, L.P. The Reporting Person may be deemed to share beneficial ownership of shares held by Nancy A. Zweng by virtue of his holding power of attorney for Nancy A. Zweng. The Reporting Person disclaims benenficial ownership of any shares held by Nancy A. Zweng. /s/ David Kastin, Attorney-in-Fact 2011-03-15