0001247621-12-000001.txt : 20121003 0001247621-12-000001.hdr.sgml : 20121003 20121003171447 ACCESSION NUMBER: 0001247621-12-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120905 FILED AS OF DATE: 20121003 DATE AS OF CHANGE: 20121003 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: 121127526 MAIL ADDRESS: STREET 1: 365 OLD CLUB ROAD S. 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 1120 CITY: ATLANTA STATE: GA ZIP: 30339 BUSINESS PHONE: 7709337000 MAIL ADDRESS: STREET 1: 900 CIRCLE 75 PARKWAY STREET 2: SUITE 1120 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 2012-09-05 0 0000096793 SUNLINK HEALTH SYSTEMS INC SSY 0001247621 FORD C MICHAEL 365 OLD CLUB ROAD S. MACON GA 31210 1 0 0 0 Director Stock Option 1.22 2012-09-05 4 A 0 20000 0 A 2012-09-05 2022-09-05 Common Stock 20000 20000 D /s/M. Timothy Elder, pursuant to a power of attorney 2012-10-03