-----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, Q0NtwRwtYhpSRLCnhc+1EranrTy/CvF5ur1hh/9W72bqmEoVbhGySom3TnjRTgkP CfTrOz6AqlOEmd9o9fmxpg== 0001247621-03-000001.txt : 20031212 0001247621-03-000001.hdr.sgml : 20031212 20031212134200 ACCESSION NUMBER: 0001247621-03-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031210 FILED AS OF DATE: 20031212 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FORD C MICHAEL CENTRAL INDEX KEY: 0001247621 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12607 FILM NUMBER: 031051391 MAIL ADDRESS: STREET 1: 262 COUNTRY CLUB DRIVE CITY: MACON STATE: GA ZIP: 31210 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 2003-12-10 0 0000096793 SUNLINK HEALTH SYSTEMS INC SSY 0001247621 FORD C MICHAEL 262 COUNTRY CLUB DRIVE MACON GA 31210 1 0 0 0 Option 2.9 2003-12-10 4 A 0 6250 A 2013-12-10 Common Stock 6250 6250 D This options vests in three equal annual installments beginning December 10, 2003. Not Applicable. /s/ C. Michael Ford 2003-12-12 -----END PRIVACY-ENHANCED MESSAGE-----