0000941364-11-000003.txt : 20110309 0000941364-11-000003.hdr.sgml : 20110309 20110309182412 ACCESSION NUMBER: 0000941364-11-000003 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110302 FILED AS OF DATE: 20110309 DATE AS OF CHANGE: 20110309 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SUNLINK HEALTH SYSTEMS INC CENTRAL INDEX KEY: 0000096793 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062] IRS NUMBER: 310621189 STATE OF INCORPORATION: OH FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 900 CIRCLE 75 PARKWAY STREET 2: SUITE 1120 CITY: ATLANTA STATE: GA ZIP: 30339 BUSINESS PHONE: 7709337000 MAIL ADDRESS: STREET 1: 900 CIRCLE 75 PARKWAY STREET 2: SUITE 1120 CITY: ATLANTA STATE: GA ZIP: 30339 FORMER COMPANY: FORMER CONFORMED NAME: KRUG INTERNATIONAL CORP DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: TECHNOLOGY INC DATE OF NAME CHANGE: 19860803 FORMER COMPANY: FORMER CONFORMED NAME: COMANCO INDUSTRIES INC DATE OF NAME CHANGE: 19710719 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRENNER KAREN B CENTRAL INDEX KEY: 0000941364 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-12607 FILM NUMBER: 11676281 MAIL ADDRESS: STREET 1: 8 ASHWOOD CITY: IRVINE STATE: CA ZIP: 92604 4/A 1 primary_doc.xml PRIMARY DOCUMENT X0303 4/A 2011-03-02 2011-03-04 0 0000096793 SUNLINK HEALTH SYSTEMS INC SSY 0000941364 BRENNER KAREN B 8 ASHWOOD IRVINE CA 92604 1 0 0 0 Common Stock 2011-03-02 4 M 0 7500 1.5 A 7500 D Common Stock 2011-03-02 4 P 0 0 A 131182 I As sole member and manager of Fortuna Asset Management, LLC Common Stock 2011-03-02 4 P 0 0 A 38416 I As Trustee of Fortuna Asset Management Defined Benefit Plan Common Stock 2011-03-02 4 P 0 0 A 21761 I By Spouse Common Stock 2011-03-02 4 P 0 0 A 5000 I As General Partner of Courtland Investments Director Stock Option 1.5 2011-03-02 4 M 0 7500 0 D 2011-03-04 Common Stock 7500 0 D This row reflects indirect ownership which has not changed as a result of the transaction reported on Form 4 filed 3/4/2011. This number includes shares that are held in client managed accounts, and the Reporting Person has only a limited power of attorney to buy or sell shares, but no power to vote such shares. Prior Form 4s over-reported indirect beneficial ownership of shares, including, but not limited to, 66,718 shares as Limited Partner of Fortuna Unplugged, and 38,350 as manager of several accounts. Consists of 5,888 shares owned by Spouse's IRA and 15,873 shares owned by Ashwood Trust. Spouse is the Trustee and sole beneficiary of Ashwood Trust. These options vested in three equal installments on 3/5/2001, 3/5/2002 and 3/5/2003. Amendment reflects Table I indirect beneficial ownership inadvertently omitted from Form 4 filed 3/4/2011. M. Timothy Elder, pursuant to a power of attorney 2011-03-09