0001209191-21-015978.txt : 20210302 0001209191-21-015978.hdr.sgml : 20210302 20210302162922 ACCESSION NUMBER: 0001209191-21-015978 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210301 FILED AS OF DATE: 20210302 DATE AS OF CHANGE: 20210302 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CLERICO JOHN A CENTRAL INDEX KEY: 0001219951 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15925 FILM NUMBER: 21704087 MAIL ADDRESS: STREET 1: 3132 S COLUMBIA CIRCLE CITY: TULSA STATE: OK ZIP: 74105 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-03-01 0 0001108109 COMMUNITY HEALTH SYSTEMS INC CYH 0001219951 CLERICO JOHN A 4000 MERIDIAN BOULEVARD FRANKLIN TN 37067 1 0 0 0 Common Stock 2021-03-01 4 M 0 12372 0.00 A 183577 D Common Stock 2021-03-01 4 M 0 11356 0.00 A 194933 D Common Stock 2021-03-01 4 M 0 11494 0.00 A 206427 D Restricted Stock Units 0.00 2021-03-01 4 M 0 12372 0.00 D Common Stock 12372 0 D Restricted Stock Units 0.00 2021-03-01 4 M 0 11356 0.00 D Common Stock 11356 11356 D Restricted Stock Units 0.00 2021-03-01 4 M 0 11494 0.00 D Common Stock 11494 22989 D Restricted Stock Units 0.00 2021-03-01 4 A 0 19296 8.81 A Common Stock 19296 19296 D The security converts to common stock on a one-to-one basis. The Restricted Stock Units vest in 1/3 increments on the first, second and third anniversary date of the date of grant. Upon vesting, the Reporting Person will be issued that number of shares of the Common Stock of the Company. Christopher G. Cobb, Attorney in Fact for John Clerico 2021-03-01