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