0001209191-12-029251.txt : 20120518
0001209191-12-029251.hdr.sgml : 20120518
20120518162759
ACCESSION NUMBER: 0001209191-12-029251
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20120518
FILED AS OF DATE: 20120518
DATE AS OF CHANGE: 20120518
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kew Terry G
CENTRAL INDEX KEY: 0001547845
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-52013
FILM NUMBER: 12855888
MAIL ADDRESS:
STREET 1: 5 PENN PLAZA - 4TH FLOOR
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
3
1
doc3.xml
FORM 3 SUBMISSION
X0205
3
2012-05-18
1
0001281774
TOWN SPORTS INTERNATIONAL HOLDINGS INC
CLUB
0001547845
Kew Terry G
C/O TOWN SPORTS INTERNATIONAL
5 PENN PLAZA
NEW YORK
NY
10001
0
1
0
0
Chief Operating Officer
/s/ David Kastin, Attorney-in-Fact
2012-05-18
EX-24.3_425023
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY
KNOW ALL BY THESE PRESENTS, that the undersigned hereby constitutes and appoints
David M. Kastin, Daniel Gallagher and Kieran Sikso and each of them acting or
signing alone, as his or her true and lawful attorney-in-fact to:
(1) execute for and on behalf of the undersigned, in the undersigned's capacity
as an officer and/or director of Town Sports International Holdings, Inc. (the
"Company"), any and all reports required to be filed by the undersigned in
accordance with Section 16(a) of the Securities Exchange Act of 1934 and the
rules thereunder;
(2) do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Form 3, 4 or 5 or
other required report and timely file such report with the United States
Securities and Exchange Commission and any stock exchange or similar authority;
and
(3) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of the
undersigned, pursuant to this Power of Attorney, shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in his
discretion.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform each and every act and thing whatsoever requisite,
necessary, and proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or his or her
substitute or substitutes, shall lawfully do or cause to be done by virtue of
this Power of Attorney and the rights and powers herein granted. The
undersigned acknowledges that no such attorney-in-fact, in serving in such
capacity at the request of the undersigned, is hereby assuming, nor is the
Company hereby assuming, any of the undersigned's responsibilities to comply
with Section 16 of the Securities Exchange Act of 1934.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file reports under Section 16 of the
Securities Exchange Act of 1934 with respect to the undersigned's holdings of
and transactions in securities issued by the Company, unless earlier revoked by
the undersigned in a signed writing delivered to the foregoing
attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 18th day of May, 2012.
/s/ _____________________
Terry Kew