0001209191-16-144902.txt : 20161005 0001209191-16-144902.hdr.sgml : 20161005 20161005161616 ACCESSION NUMBER: 0001209191-16-144902 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161003 FILED AS OF DATE: 20161005 DATE AS OF CHANGE: 20161005 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: WEIGHT WATCHERS INTERNATIONAL INC CENTRAL INDEX KEY: 0000105319 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PERSONAL SERVICES [7200] IRS NUMBER: 116040273 STATE OF INCORPORATION: VA FISCAL YEAR END: 1230 BUSINESS ADDRESS: STREET 1: 675 AVENUE OF THE AMERICAS STREET 2: 6TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10010 BUSINESS PHONE: 2125892700 MAIL ADDRESS: STREET 1: 675 AVENUE OF THE AMERICAS STREET 2: 6TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10010 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fajgenbaum Jonas CENTRAL INDEX KEY: 0001376855 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16769 FILM NUMBER: 161922590 MAIL ADDRESS: STREET 1: C/O WEIGHT WATCHERS INTERNATIONAL, INC. STREET 2: 675 AVENUE OF THE AMERICAS, 6TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10010 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-10-03 0 0000105319 WEIGHT WATCHERS INTERNATIONAL INC WTW 0001376855 Fajgenbaum Jonas 675 AVENUE OF THE AMERICAS, 6TH FLOOR NEW YORK NY 10010 1 0 0 0 Common Stock 2016-10-03 4 A 0 904 0.00 A 46873 D The shares listed represent shares of Common Stock subject to transfer restrictions. /s/ Stephanie Delavale, as Attorney-In-Fact for Jonas Fajgenbaum 2016-10-05