0001209191-12-027684.txt : 20120511 0001209191-12-027684.hdr.sgml : 20120511 20120511164009 ACCESSION NUMBER: 0001209191-12-027684 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120510 FILED AS OF DATE: 20120511 DATE AS OF CHANGE: 20120511 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Flood John H III CENTRAL INDEX KEY: 0001349418 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52013 FILM NUMBER: 12835126 MAIL ADDRESS: STREET 1: 431 HILLSIDE AVENUE CITY: WESTFIELD STATE: NJ ZIP: 07090 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 X0305 4 2012-05-10 0 0001281774 TOWN SPORTS INTERNATIONAL HOLDINGS INC CLUB 0001349418 Flood John H III C/ TOWN SPORTS INTERNATIONAL HOLDINGS 5 PENN PLAZA NEW YORK NY 10001 1 0 0 0 Common Stock, par value $0.001 2012-05-10 4 A 0 1667 0.00 A 1667 D These shares were issued pursuant to the Registrant's 2006 Stock Incentive Plan, as amended, as an award to a new member of the Board of Director. /s/ David Kastin, Attorney in Fact 2012-05-11