SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Hingtgen Tim

(Last) (First) (Middle)
4000 MERIDIAN BOULEVARD

(Street)
FRANKLIN TN 37067

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
COMMUNITY HEALTH SYSTEMS INC [ CYH ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
CEO
3. Date of Earliest Transaction (Month/Day/Year)
08/05/2014
4. If Amendment, Date of Original Filed (Month/Day/Year)
08/05/2014
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 08/05/2014 S(1) 1,666(1) D $48.3869(1) 10,579(2) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. This Amendment reports the sale by Reporting Person of 1,666 shares of Common Stock on 8/5/14 at a sale price of $48.3869 per share, which sale was inadvertently omitted from the Form 4 filed on behalf of Reporting Person on 8/5/14. This sale of 1,666 shares of Common Stock was associated with the cashless exercise of options. The Form 4 filed on 8/5/14 reported the exercise of 1,000 stock options at a strike price of $18.18 and the exercise of 666 stock options at a strike price of $21.07; however, the sale on that date of the 1,666 shares of Common Stock received upon the exercise of such options was inadvertently omitted from the Form 4. (The Form 4 filed on 8/5/14 correctly reported the separate sale of 2,369 shares of Common Stock that also occurred on that date.)
2. This Amendment also corrects the number of shares of Common Stock beneficially owned by Reporting Person on 8/5/14 to reflect the inadvertently omitted sale of 1,666 shares of Common Stock on that date. The correct number of shares of Common Stock beneficially owned by Reporting Person on 8/5/14 was 10,579. Thus, the shares of Common Stock beneficially owned as reported in Table I, Column 5 of all subsequent Forms 4 for Reporting Person is similarly overstated by 1,666 shares. As a result, on a Form 4 filed on 3/2/22, the number of shares of Common Stock beneficially owned by Reporting Person as of 3/1/22 was incorrectly reported in Table I, Column 5 as 736,178. The correct number of shares of Common Stock beneficially owned by Reporting Person on 3/1/22 is 734,512.
Remarks:
Christopher G. Cobb, Attorney In Fact for Tim Hingtgen 11/04/2022
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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