0001209191-15-041637.txt : 20150512 0001209191-15-041637.hdr.sgml : 20150512 20150512161350 ACCESSION NUMBER: 0001209191-15-041637 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150511 FILED AS OF DATE: 20150512 DATE AS OF CHANGE: 20150512 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: COMMUNITY HEALTH SYSTEMS INC CENTRAL INDEX KEY: 0001108109 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-GENERAL MEDICAL & SURGICAL HOSPITALS, NEC [8062] IRS NUMBER: 133893191 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4000 MERIDIAN BOULEVARD CITY: FRANKLIN STATE: TN ZIP: 37067 BUSINESS PHONE: 615-465-7000 MAIL ADDRESS: STREET 1: 4000 MERIDIAN BOULEVARD CITY: FRANKLIN STATE: TN ZIP: 37067 FORMER COMPANY: FORMER CONFORMED NAME: COMMUNITY HEALTH SYSTEMS INC/ DATE OF NAME CHANGE: 20000229 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ely James S. III CENTRAL INDEX KEY: 0001463791 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15925 FILM NUMBER: 15854616 MAIL ADDRESS: STREET 1: 4000 MERIDIAN BLVD CITY: FRANKLIN STATE: TN ZIP: 37067 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-05-11 0 0001108109 COMMUNITY HEALTH SYSTEMS INC CYH 0001463791 Ely James S. III 4000 MERIDIAN BLVD FRANKLIN TN 37067 1 0 0 0 Common Stock 2015-05-11 5 G 0 E 4990 0.00 D 20227 D Common Stock 2015-05-11 5 G 0 E 4990 0.00 A 4990 I By E5 Investors LLC Restricted Stock Units 0.00 2014-02-27 2023-02-26 Common Stock 1198 1198 D Restricted Stock Units 0.00 2015-03-01 2024-02-29 Common Stock 2409 2409 D Restricted Stock Units 0.00 2016-03-01 2025-02-28 Common Stock 3504 3504 D Stock Units (SU) 0.00 Common Stock 573.833 573.833 D Transfer of shares beneficially owned by Reporting Person to E5 Investors LLC, a Florida limited liability company, owned 20% by Reporting Person, 20% by Reporting Person's spouse, and 60% by family members of Reporting Person who do not share Reporting Person's household. Reporting Person and Reporting Person's spouse serve as managers of E5 Investors LLC. The Reporting Person disclaims beneficial ownership of the Company's common stock held by E5 Investors LLC except to the extent of his pecuniary interest therein. The Stock Units were accrued under the Company's Directors' Fees Deferral Plan and are settled 100% in the Company's common stock upon cessation as a director or upon a date specified by the director. Christopher G. Cobb, Attorney in Fact for James S. Ely 2015-05-12