0001209191-12-003705.txt : 20120117 0001209191-12-003705.hdr.sgml : 20120116 20120117085935 ACCESSION NUMBER: 0001209191-12-003705 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120113 FILED AS OF DATE: 20120117 DATE AS OF CHANGE: 20120117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gallagher Daniel CENTRAL INDEX KEY: 0001422167 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52013 FILM NUMBER: 12528234 MAIL ADDRESS: STREET 1: C/O TOWN SPORTS INTERNATIONAL HOLDINGS 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 4 1 doc4.xml FORM 4 SUBMISSION X0304 4 2012-01-13 0 0001281774 TOWN SPORTS INTERNATIONAL HOLDINGS INC CLUB 0001422167 Gallagher Daniel 5 PENN PLAZA NEW YORK NY 10001 0 1 0 0 Chief Financial Officer Common Stock, par value $0.001 2012-01-13 4 M 0 25000 2.44 A 64000 D Common Stock, par value $0.001 2012-01-13 4 S 0 25000 8.24 D 39000 D Stock Option (right to buy) 2.44 2012-01-13 4 M 0 25000 0.00 D 2009-12-04 2018-12-04 Common Stock, par value $0.001 25000 50000 D The exercise of the option and sale of the underlying shares reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on May 31, 2011. These options were granted on December 4, 2008 and begam to vest in four equal annual installments commencing on December 4, 2009, the first anniversary of the grant date. /s/ David Kastin, Attorney-in-Fact 2011-01-17