0001209191-12-051015.txt : 20121031 0001209191-12-051015.hdr.sgml : 20121031 20121031085507 ACCESSION NUMBER: 0001209191-12-051015 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121030 FILED AS OF DATE: 20121031 DATE AS OF CHANGE: 20121031 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Milford Scott R CENTRAL INDEX KEY: 0001476848 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52013 FILM NUMBER: 121169699 MAIL ADDRESS: STREET 1: C/O TOWN SPORTS INTERNATIONAL, LLC 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 X0306 4 2012-10-30 0 0001281774 TOWN SPORTS INTERNATIONAL HOLDINGS INC CLUB 0001476848 Milford Scott R 5 PENN PLAZA NEW YORK NY 10001 0 1 0 0 SVP-Human Resources Common Stock, par value $0.001 2012-10-30 4 A 0 8000 0.00 A 22540 D These shares of restricted stock vest in four equal annual installments commencing on Ocotber 30, 2013, the first anniversary of the grant date. /s/ David Kastin for Scott Milford 2012-10-31