0000950155-12-000027.txt : 20120307 0000950155-12-000027.hdr.sgml : 20120307 20120307170615 ACCESSION NUMBER: 0000950155-12-000027 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20120307 DATE AS OF CHANGE: 20120307 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SILVERBERG ELYSE BETH CENTRAL INDEX KEY: 0000939508 FILING VALUES: FORM TYPE: SC 13G/A SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CHINDEX INTERNATIONAL INC CENTRAL INDEX KEY: 0000922717 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MEDICAL, DENTAL & HOSPITAL EQUIPMENT & SUPPLIES [5047] IRS NUMBER: 133097642 STATE OF INCORPORATION: DE FISCAL YEAR END: 0921 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-53133 FILM NUMBER: 12674894 BUSINESS ADDRESS: STREET 1: 4340 EAST WEST HWY STREET 2: SUITE 1100 CITY: BETHESDA STATE: MD ZIP: 20814 BUSINESS PHONE: 3012157777 MAIL ADDRESS: STREET 1: 4340 EAST WEST HWY STREET 2: SUITE 1100 CITY: BETHESDA STATE: MD ZIP: 20814 FORMER COMPANY: FORMER CONFORMED NAME: US CHINA INDUSTRIAL EXCHANGE INC DATE OF NAME CHANGE: 19940505 SC 13G/A 1 e61164288sc13ga.htm SCHEDULE 13G/A e61164288sc13ga.htm
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
 
 
SCHEDULE 13G
 
 
 
Under the Securities Exchange Act of 1934
(Amendment No. 3)*

CHINDEX INTERNATIONAL, INC.
(Name of Issuer)
 
Common Stock, par value $0.01 per share
(Title of Class of Securities)
 
 
169467107
 
 
(CUSIP Number)
 
     
 
December 31, 2011
 
(Date of Event Which Requires Filing of this Statement)
 
Check the appropriate box to designate the rule pursuant to which this Schedule 13G is filed:
 
[  ]  Rule 13d-1(b)
[  ]  Rule 13d-1(c)
[x]  Rule 13d-1(d)
 
 
*The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosure provided in a prior cover page.
 
The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes.)

 
 

 

CUSIP No. 169467107
13G
Page 2 of 5 Pages

1
NAMES OF REPORTING PERSONS
 
Elyse Beth Silverberg
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)
(a) o
(b) o
3
SEC USE ONLY
 
 
4
CITIZENSHIP OR PLACE OF ORGANIZATION
 
United States
 
 
NUMBER OF
5
SOLE VOTING POWER
459,756 (Common Stock)
390,750 (Class B Common Stock)
SHARES
BENEFICIALLY
OWNED BY
6
SHARED VOTING POWER
 
0
EACH
REPORTING
PERSON
7
SOLE DISPOSITIVE POWER
459,756 (Common Stock)
390,750 (Class B Common Stock)
WITH
8
SHARED DISPOSITIVE POWER   
 
0
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
459,756 (Common Stock)
390,750 (Class B Common Stock)
10
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (See Instructions)
 
Not Applicable
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
 
12.28%*
12
TYPE OF REPORTING PERSON (See Instructions)
 
IN
*Indicates percentage voting power represented by beneficial ownership when the Common Stock and Class B Common Stock vote together.

 
 

 


CUSIP No. 169467107
13G
Page 3 of 5 Pages

 
Item 1.
 
(a)  
Name of Issuer:
 
Chindex International, Inc.
 
(b)  
Address of Issuer's Principal Executive Offices:
 
4340 East West Highway, Suite 1100
Bethesda, MD 20814
Item 2.
 
(a)  
Name of Person Filing:
 
Elyse Beth Silverberg
 
(b)  
Address or Principal Business Office or, if none, Residence:
 
4340 East West Highway, Suite 1100
Bethesda, MD 20814

(c)  
Citizenship:
 
United States
 
(d)  
Title of Class of Securities:
 
Common Stock, par value $0.01 per share
 
(e)  
CUSIP Number:
 
169467107
 
Item 3.
 
Not Applicable
 
Item 4.
Ownership
 
 
(a)
Amount beneficially owned:  As of December 31, 2011, Ms. Silverberg beneficially owned 850,506 shares of Common Stock.  Includes (i) 459,756 shares of Common Stock held by Ms. Silverberg, including 68,335 unvested shares of restricted stock and 211,498 shares underlying options that are currently exercisable or will become exercisable within 60 days, and (ii) 390,750 shares of Class B Common Stock held by Ms. Silverberg.  Each share of Class B Common Stock is convertible at any time into one share of Common Stock and, when voting with the Common Stock, has six votes per share.

 
(b)
Percent of class:  12.28%*

 
(c)
Number of shares as to which such person has:

 
(i)
Sole power to vote or direct the vote:
459,756 (Common Stock)
390,750 (Class B Common Stock)

 
(ii)
Shared power to vote or direct the vote: 0
 
 
 
*Indicates percentage voting power represented by beneficial ownership when the Common Stock and Class B Common Stock vote together.
 
 

 


CUSIP No. 169467107
13G
Page 4 of 5 Pages

 
(iii)
Sole power to dispose or direct the disposition of:
459,756 (Common Stock)
390,750 (Class B Common Stock)

 
(iv)
Shared power to dispose or direct the disposition of: 0

Item 5.
Ownership of Five Percent or Less of a Class
 
 
If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than 5 percent of the class of securities, check the following:
 
[ ]
 
Item 6.
Ownership of More than Five Percent on Behalf of Another Person
 
Not Applicable
 
Item 7.
Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person
 
Not Applicable
 
Item 8.
Identification and Classification of Members of the Group
 
Not Applicable
 
Item 9.
Notice of Dissolution of Group
 
Not Applicable
 
Item 10.
Certifications
 
Not Applicable

 
 

 


CUSIP No. 169467107
13G
Page 5 of 5 Pages

SIGNATURE
 
 
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
 
Dated:  February 19, 2012

 
         
/s/ Elyse Beth Silverberg
   
 
 
Elyse Beth Silverberg