0001247619-21-000002.txt : 20211112
0001247619-21-000002.hdr.sgml : 20211112
20211112112521
ACCESSION NUMBER: 0001247619-21-000002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211019
FILED AS OF DATE: 20211112
DATE AS OF CHANGE: 20211112
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: 211401528
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 690
CITY: ATLANTA
STATE: GA
ZIP: 30339
BUSINESS PHONE: 7709337000
MAIL ADDRESS:
STREET 1: 900 CIRCLE 75 PARKWAY
STREET 2: SUITE 690
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
X0306
4
2021-10-19
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
2021-10-19
4
M
0
10000
1.67
A
531244
D
Common Stock
50000
I
As Trustee, Baileys Grandchildren's Trust FBO Jeremy Baileys
Common Stock
50000
I
As Trustee, Baileys Grandchildren's Trust FBO Alison Brooke Baileys
Common Stock
180000
I
By IRA
Common Stock
1600
I
By Spouse
Director Stock Option
1.67
2021-10-19
4
M
0
10000
0
D
2011-11-10
2021-11-10
Common Stock
10000
0
D
This row reflects indirect ownership which has not changed as a result of the transactions reported on this form.
M. Timothy Elder, pursuant to a Power of Attorney
2021-11-12