0001562180-21-002411.txt : 20210323
0001562180-21-002411.hdr.sgml : 20210323
20210323174224
ACCESSION NUMBER: 0001562180-21-002411
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20210319
FILED AS OF DATE: 20210323
DATE AS OF CHANGE: 20210323
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LIVELY DORVIN D
CENTRAL INDEX KEY: 0001135314
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37534
FILM NUMBER: 21765824
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Planet Fitness, Inc.
CENTRAL INDEX KEY: 0001637207
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEMBERSHIP SPORTS & RECREATION CLUBS [7997]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4 LIBERTY LANE WEST
CITY: HAMPTON
STATE: NH
ZIP: 03842
BUSINESS PHONE: 603-750-0001
MAIL ADDRESS:
STREET 1: 4 LIBERTY LANE WEST
CITY: HAMPTON
STATE: NH
ZIP: 03842
4
1
primarydocument.xml
PRIMARY DOCUMENT
X0306
4
2021-03-19
false
0001637207
Planet Fitness, Inc.
PLNT
0001135314
LIVELY DORVIN D
C/O PLANET FITNESS, INC.
4 LIBERTY LANE WEST
HAMPTON
NH
03842
false
true
false
false
President
Class A common stock
2021-03-19
4
A
false
10664.00
A
54671.00
D
Option to purchase Class A common stock
78.35
2021-03-19
4
A
false
26034.00
0.00
A
2031-03-19
Class A common stock
26034.00
184506.00
D
Represents the grant of restricted stock units with respect to the issuer's common stock that vests in equal installments on each of the first four anniversaries of the date of grant.
Represents the grant of an option to purchase shares of Class A common stock that vests in equal installments on each of the first four anniversaries of the date of grant.
/s/ Justin Vartanian, Attorney-in-Fact
2021-03-23
EX-24
2
livelypoa_v3.txt
LIVELY POA
POWER OF ATTORNEY
The undersigned hereby constitutes and appoints Richard Moore and
Justin Vartanian, with full power of substitution, as the undersigned's
true and lawful attorney-in-fact to:
(1) prepare, execute in the undersigned's name and on the
undersigned's behalf, and submit to the U.S. Securities and
Exchange Commission (the "SEC") a Form ID, including amendments
thereto, and any other documents necessary or appropriate to
obtain codes and passwords enabling the undersigned to make
electronic filings with the SEC of reports required by Section
16(a) of the Securities Exchange Act of 1934, as amended, or
any rule or regulation of the SEC;
(2) execute for and on behalf of the undersigned, in the
undersigned's capacity as officer and/or director of Planet
Fitness, Inc. (the "Company"), Forms 3, 4, and 5 in accordance
with Section 16(a) of the Securities Exchange Act of 1934, as
amended, and the rules thereunder;
(3) do and perform any and all acts for and on behalf of the
undersigned that may be necessary or desirable to complete and
execute any such Form 3, 4, or 5, complete and execute any
amendment or amendments thereto, and timely file such form with
the SEC and any stock exchange or similar authority; and
(4) take any other action of any type whatsoever in connection with
the foregoing that, in the opinion of such attorney-in-fact,
may be of benefit to, in the best interest of, or legally
required by, the undersigned, it being understood that the
documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in
such form and shall contain such terms and conditions as such
attorney-in-fact may approve in such attorney-in-fact's
discretion.
The undersigned hereby grants to each such attorney-in-fact full power
and authority to do and perform any and every act and thing whatsoever
requisite, necessary, or proper to be done in the exercise of any of the rights
and powers herein granted, as fully to all intents and purposes as the
undersigned might or could do if personally present, with full power of
substitution or revocation, hereby ratifying and confirming all that such
attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall
lawfully do or cause to be done by virtue of this power of attorney and the
rights and powers herein granted. The undersigned acknowledges that the
foregoing attorney-in-fact, in serving in such capacity at the request of the
undersigned, is not assuming, nor is the Company assuming, any of the
undersigned's responsibilities to comply with Section 16 of the Securities
Exchange Act of 1934, as amended.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
foregoing attorney-in-fact.
[Remainder of page intentionally left blank]
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney
to be executed as of July 29, 2015.
/s/ Dorvin Lively
--------------------------------------
Dorvin Lively