-----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, U70HU0+BQ9J5M+ZBwFy82ksfH3gA/uULaoQqKQmb5nqbSzTu3G56qJdZ1+c8iTlX 62FQz5XbvabrE0dJZpJJzg== 0001412467-08-000001.txt : 20081119 0001412467-08-000001.hdr.sgml : 20081119 20081119150506 ACCESSION NUMBER: 0001412467-08-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20081117 FILED AS OF DATE: 20081119 DATE AS OF CHANGE: 20081119 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Spurr Jack M. CENTRAL INDEX KEY: 0001412467 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12607 FILM NUMBER: 081200774 BUSINESS ADDRESS: BUSINESS PHONE: 770-933-7000 MAIL ADDRESS: STREET 1: 900 CIRCLE 75 PARKWAY STREET 2: SUITE 1120 CITY: ATLANTA STATE: GA ZIP: 30339 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: 1231 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 X0303 4 2008-11-17 0 0000096793 SUNLINK HEALTH SYSTEMS INC SSY 0001412467 Spurr Jack M. 900 CIRCLE 75 PARKWAY SUITE 1120 ATLANTA GA 30339 0 1 0 0 VP, Hospital Financial Ops. Employee Stock Option 6.57 2008-11-17 4 D 0 15000 D 2010-02-17 Common Stock 15000 0 D Employee Stock Option 9.63 2008-11-17 4 D 0 9224 D 2015-11-10 Common Stock 9224 0 D Employee Stock Option 8 2008-11-17 4 D 0 8000 D 2017-09-23 Common Stock 8000 0 D Exercisable in three equal installments of 5,000 shares on 2/18/2006, 2/18/2007 and 2/18/2008, respectively. Exercisable in four equal installments of 2,306 shares on 11/11/2006, 11/11/2007, 11/11/2008, and 11/11/2009, respectively. Exercisable in four equal installments of 2,000 shares on 9/24/2008, 9/24/2009, 9/24/2010, and 9/24/2011, respectively. These options were cancelled by mutual agreement of the reporting person and SunLink Health Systems, Inc. The reporting person agreed to cancel these options for the right to participate in the 2009 Executive Bonus Plan (the "Plan"). Under the Plan, the reporting person may receive $33,580, $50,370, or $67,160, if certain goals are achieved, based on discretionary criteria that revolve around the objective of increasing shareholder value. /s/M. Timothy Elder, pursuant to a power of attorney 2008-11-19 -----END PRIVACY-ENHANCED MESSAGE-----