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