0001209191-15-075295.txt : 20151013 0001209191-15-075295.hdr.sgml : 20151012 20151013170005 ACCESSION NUMBER: 0001209191-15-075295 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151012 FILED AS OF DATE: 20151013 DATE AS OF CHANGE: 20151013 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: Ryan Michelle CENTRAL INDEX KEY: 0001655240 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36803 FILM NUMBER: 151156586 MAIL ADDRESS: STREET 1: C/O TOWN SPORTS INTL. HOLDINGS, INC. STREET 2: 5 PENN PLAZA (4TH FLOOR) CITY: NEW YORK STATE: NY ZIP: 10001 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-10-12 0 0001281774 TOWN SPORTS INTERNATIONAL HOLDINGS INC CLUB 0001655240 Ryan Michelle 5 PENN PLAZA NEW YORK NY 10001 0 1 0 0 Chief Marketing Officer Stock Option (right to buy) 2.95 2015-10-12 4 A 0 50000 0.00 A 2025-10-12 Common Stock, par value $0.001 50000 50000 D These options vest in four equal annual installments commencing on October 12, 2016, the first anniversary of the grant date. /s/ Kieran Sikso, Attorney-in-fact 2015-10-13