0001209191-16-155135.txt : 20161214
0001209191-16-155135.hdr.sgml : 20161214
20161214160154
ACCESSION NUMBER: 0001209191-16-155135
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161212
FILED AS OF DATE: 20161214
DATE AS OF CHANGE: 20161214
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: Ajmera Nitin
CENTRAL INDEX KEY: 0001607717
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36803
FILM NUMBER: 162051143
MAIL ADDRESS:
STREET 1: 5 PENN PLAZA
CITY: NEW YORK
STATE: NY
ZIP: 10001
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-12-12
0
0001281774
TOWN SPORTS INTERNATIONAL HOLDINGS INC
CLUB
0001607717
Ajmera Nitin
5 PENN PLAZA
NEW YORK
NY
10001
0
1
0
0
SVP - Controller
Common Stock, par value $0.001
2016-12-12
4
A
0
15000
0.00
A
54161
D
These shares of restricted stock vest in three equal annual installments commencing on December 12, 2017, the first anniversary of the grant date.
/s/ Kieran Sikso, Attorney-in-Fact
2016-12-14