0001209191-17-007553.txt : 20170203 0001209191-17-007553.hdr.sgml : 20170203 20170203160335 ACCESSION NUMBER: 0001209191-17-007553 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170201 FILED AS OF DATE: 20170203 DATE AS OF CHANGE: 20170203 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: FISH JASON M CENTRAL INDEX KEY: 0000883959 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36803 FILM NUMBER: 17572094 MAIL ADDRESS: STREET 1: C/O CAPITALSOURCE HOLDINGS LLC STREET 2: 4455 WILLARD AVENUE, 12TH FLOOR CITY: CHEVY CHASE STATE: MD ZIP: 20815 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-02-01 0 0001281774 TOWN SPORTS INTERNATIONAL HOLDINGS INC CLUB 0000883959 FISH JASON M ONE MARITIME PLAZA SAN FRANCISCO CA 94111 1 0 0 0 Common Stock, par value $0.001 2017-02-01 4 A 0 14235 0.00 A 65181 D These shares were issued pursuant to the Registrant's 2006 Stock Incentive Plan, as amended, as the annual award of shares to directors pursuant to the Amended and Restated Non-Employee Director Compensation Plan. /s/ Kieran Sikso, Attorney-in-Fact 2017-02-03