0000921895-17-002580.txt : 20171109
0000921895-17-002580.hdr.sgml : 20171109
20171109171606
ACCESSION NUMBER: 0000921895-17-002580
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171107
FILED AS OF DATE: 20171109
DATE AS OF CHANGE: 20171109
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ryan Michelle
CENTRAL INDEX KEY: 0001655240
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36803
FILM NUMBER: 171191902
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
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
form411125rya_11092017.xml
OWNERSHIP DOCUMENT
X0306
4
2017-11-07
0
0001281774
TOWN SPORTS INTERNATIONAL HOLDINGS INC
CLUB
0001655240
Ryan Michelle
C/O TOWN SPORTS INTL. HOLDINGS, INC.
399 EXECUTIVE BLVD.
ELMSFORD
NY
10523
0
1
0
0
Chief Marketing Officer
Common Stock, par value $0.001
2017-11-07
4
M
0
1184
2.65
A
14517
D
Common Stock, par value $0.001
2017-11-07
4
S
0
1184
6.00
D
13333
D
Stock Option (right to buy)
2.65
2017-11-07
4
M
0
1184
0.00
D
2025-10-12
Common Stock, par value $0.001
1184
36316
D
These options were granted on October 12, 2015 and began to vest in four equal annual installments commencing on October 12, 2016, the first anniversary of the grant date.
/s/ Kieran Sikso, Attorney-in-Fact
2017-11-09