0001247619-23-000002.txt : 20231023 0001247619-23-000002.hdr.sgml : 20231023 20231023153735 ACCESSION NUMBER: 0001247619-23-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231019 FILED AS OF DATE: 20231023 DATE AS OF CHANGE: 20231023 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: 231339960 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 X0508 4 2023-10-19 0 0000096793 SUNLINK HEALTH SYSTEMS INC SSY 0001247619 BAILEYS STEVEN J 30691 HUNT CLUB DRIVE SAN JUAN CAPISTRANO CA 92675 1 0 0 0 0 Series C Fractional Interests 2023-10-19 4 D 0 551244 D 0 D Series C Fractional Interests 2023-10-19 4 D 0 50000 D 0 I As Trustee, Baileys Grandchildren's Trust FBO Jeremy Baileys Series C Fractional Interests 2023-10-19 4 D 0 50000 D 0 I As Trustee, Baileys Grandchildren's Trust FBO Alison Brooke Baileys Series C Fractional Interests 2023-10-19 4 D 0 180000 D 0 I By IRA Series C Fractional Interests 2023-10-19 4 D 0 1600 D 0 I By Spouse Common Stock 551244 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 This Form 4 relates to the automatic redemption of all Series C Fractional Interests for no consideration following shareholder approval of the Issuer's Reincorporation Proposal at a special meeting held on October 19, 2023. This row reflects direct ownership which has not changed as a result of the transactions reported on this form. 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 2023-10-23