0001571049-16-011289.txt : 20160128 0001571049-16-011289.hdr.sgml : 20160128 20160128210742 ACCESSION NUMBER: 0001571049-16-011289 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160126 FILED AS OF DATE: 20160128 DATE AS OF CHANGE: 20160128 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Townsquare Media, Inc. CENTRAL INDEX KEY: 0001499832 STANDARD INDUSTRIAL CLASSIFICATION: RADIO BROADCASTING STATIONS [4832] IRS NUMBER: 271996555 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 240 GREENWICH AVE. CITY: GREENWICH STATE: CT ZIP: 06830 BUSINESS PHONE: 203-861-0900 MAIL ADDRESS: STREET 1: 240 GREENWICH AVE. CITY: GREENWICH STATE: CT ZIP: 06830 FORMER COMPANY: FORMER CONFORMED NAME: Townsquare Media, LLC DATE OF NAME CHANGE: 20100824 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hellum Erik CENTRAL INDEX KEY: 0001613709 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36558 FILM NUMBER: 161370755 MAIL ADDRESS: STREET 1: C/O TOWNSQUARE MEDIA, LLC STREET 2: 240 GREENWICH AVENUE CITY: GREENWICH STATE: CT ZIP: 06830 4 1 t1600261_x12-hellum.xml OWNERSHIP DOCUMENT X0306 4 2016-01-26 0 0001499832 Townsquare Media, Inc. TSQ 0001613709 Hellum Erik C/O TOWNSQUARE MEDIA, INC. 240 GREENWICH AVENUE GREENWICH CT 06830 0 1 0 0 EXECUTIVE VICE PRESIDENT Option to Purchase Class A Common Stock 8.96 2016-01-26 4 A 0 75000 0 A 2021-01-26 Class A Common Stock 75000 286716 D The Reporting Person's options vest and become exercisable as follows: (i) the options shall vest and become exercisable with respect to fifty percent (50%) of the shares of Class A Common Stock underlying the options on the third anniversary of the date of the grant (the "Grant Date") and (ii) the options shall vest and become exercisable with respect to the remaining fifty percent (50%) of the shares of Class A Common Stock underlying the options upon the fourth anniversary of the Grant Date. /s/ Erik Hellum 2016-01-28