0001281774-17-000036.txt : 20171207
0001281774-17-000036.hdr.sgml : 20171207
20171207173122
ACCESSION NUMBER: 0001281774-17-000036
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171204
FILED AS OF DATE: 20171207
DATE AS OF CHANGE: 20171207
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: 171245623
MAIL ADDRESS:
STREET 1: 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: 1001 US NORTH HIGHWAY 1
STREET 2: SUITE 201
CITY: JUPITER
STATE: FL
ZIP: 33477
BUSINESS PHONE: (212) 246-6700
MAIL ADDRESS:
STREET 1: 399 EXECUTIVE BOULEVARD
CITY: ELMSFORD
STATE: NY
ZIP: 10523
4
1
wf-form4_151268586878902.xml
FORM 4
X0306
4
2017-12-04
0
0001281774
TOWN SPORTS INTERNATIONAL HOLDINGS INC
CLUB
0001607717
Ajmera Nitin
1001 US NORTH HIGHWAY 1, SUITE 201
JUPITER
FL
33477
0
1
0
0
SVP - Controller
Common Stock, par value $0.001
2017-12-04
4
A
0
8000
0
A
57811
D
These shares of restricted stock vest in three equal annual installments commencing on December 4, 2018, the first anniversary of the grant date.
/s/ Kieran Sikso, Attorney-in-Fact
2017-12-07