0001209191-15-076295.txt : 20151020 0001209191-15-076295.hdr.sgml : 20151020 20151020172922 ACCESSION NUMBER: 0001209191-15-076295 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151019 FILED AS OF DATE: 20151020 DATE AS OF CHANGE: 20151020 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: Nelson Leam CENTRAL INDEX KEY: 0001655247 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36803 FILM NUMBER: 151166984 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 2015-10-19 0 0001281774 TOWN SPORTS INTERNATIONAL HOLDINGS INC CLUB 0001655247 Nelson Leam 5 PENN PLAZA NEW YORK NY 10001 0 1 0 0 General Counsel Stock Option (right to buy) 3.04 2015-10-19 4 A 0 100000 0.00 A 2025-10-19 Common Stock, par value $0.001 100000 100000 D These options vest in four equal annual installments commencing on October 19, 2016, the first anniversary of the grant date. /s/ Kieran Sikso, Attorney-in-fact 2015-10-20