0001209191-12-004440.txt : 20120119 0001209191-12-004440.hdr.sgml : 20120119 20120119161443 ACCESSION NUMBER: 0001209191-12-004440 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120118 FILED AS OF DATE: 20120119 DATE AS OF CHANGE: 20120119 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ALESSI KEITH E CENTRAL INDEX KEY: 0001070975 STATE OF INCORPORATION: VA FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52013 FILM NUMBER: 12534819 MAIL ADDRESS: STREET 1: 9540 SOUTH MAROON CIRCLE STREET 2: SUITE 200 CITY: ENGLEWOOD STATE: CO ZIP: 80112 4 1 doc4.xml FORM 4 SUBMISSION X0304 4 2012-01-18 0 0001281774 TOWN SPORTS INTERNATIONAL HOLDINGS INC CLUB 0001070975 ALESSI KEITH E P.O. BOX 7000 BROADWAY VA 22815 1 0 0 0 Common Stock, par value $0.001 2012-01-18 4 A 0 1667 0.00 A 53332 D These shares were issued pursuant to the Registrant's 2006 Stock Incentive Plan, as amended, as the annual award of shares to directors puruant to the Amended and Restated Non-Employee Director Compensation Plan. /s/ David Kastin, Attorney-in-Fact 2012-01-19