0001209191-13-000181.txt : 20130102 0001209191-13-000181.hdr.sgml : 20130101 20130102161245 ACCESSION NUMBER: 0001209191-13-000181 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121231 FILED AS OF DATE: 20130102 DATE AS OF CHANGE: 20130102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Edmonds J Rice CENTRAL INDEX KEY: 0001297008 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-52013 FILM NUMBER: 13502088 MAIL ADDRESS: STREET 1: 126 EAST 56TH STREET CITY: NEW YORK STATE: NY ZIP: 10022 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 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2012-12-31 0 0 0 0001281774 TOWN SPORTS INTERNATIONAL HOLDINGS INC CLUB 0001297008 Edmonds J Rice 305 ST. DAVID'S LANE RICHMOND VA 23221 1 0 0 0 Common Stock, par value $0.001 2007-09-30 5 G 0 1000 0.00 A 41334 D /s/ David Kastin, Attorney-in-Fact 2013-01-02