-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, FWpt2TWdUkBEEPxlZgJ/r8uIuIzp4k0Q+6ZnsAhPuJA0H77FYPXtLR2lr8cRx/3j HtY92oB9g+k67EzfK7oYvg== 0001247619-04-000001.txt : 20040109 0001247619-04-000001.hdr.sgml : 20040109 20040109145901 ACCESSION NUMBER: 0001247619-04-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040107 FILED AS OF DATE: 20040109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BAILEYS STEVEN J CENTRAL INDEX KEY: 0001247619 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12607 FILM NUMBER: 04517717 MAIL ADDRESS: STREET 1: 30691 HUNT CLUB DRIVE CITY: SAN JUAN CAPISTRANO STATE: CA ZIP: 92675 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 1300 CITY: ATLANTA STATE: GA ZIP: 30339 BUSINESS PHONE: 7709337000 MAIL ADDRESS: STREET 1: 900 CIRCLE 75 PARKWAY STREET 2: SUITE 1300 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 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2004-01-07 0 0000096793 SUNLINK HEALTH SYSTEMS INC SSY 0001247619 BAILEYS STEVEN J 30691 HUNT CLUB DRIVE SAN JUAN CAPISTRANO CA 92675 1 0 0 0 Common Stock 2004-01-07 4 S 0 7000 2.73 D 225608 D Common Stock 2004-01-07 4 P 0 7000 2.73 A 7000 I Custodian for Child Common Stock 1998-08-08 4 P 0 0 0 A 1500 I By IRA Common Stock 1998-08-08 4 P 0 0 0 A 5000 I By Partnership Common Stock 1998-08-08 4 P 0 0 0 A 1500 I IRA for Spouse Common Stock 1998-08-08 4 P 0 0 0 A 321608 I Held as Managing Member of Beilihis Investments, LLC This row reflects indirect ownership which has not changed as a result of the transactions reported on this form. Dummy entry as required by software error. /s/ Steven J. Baileys 2004-01-09 -----END PRIVACY-ENHANCED MESSAGE-----