0001247619-23-000001.txt : 20230816 0001247619-23-000001.hdr.sgml : 20230816 20230816164151 ACCESSION NUMBER: 0001247619-23-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230816 FILED AS OF DATE: 20230816 DATE AS OF CHANGE: 20230816 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BAILEYS STEVEN J CENTRAL INDEX KEY: 0001247619 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12607 FILM NUMBER: 231178709 MAIL ADDRESS: STREET 1: 30691 HUNT CLUB DRIVE CITY: SAN JUAN CAPISTRANO STATE: CA ZIP: 92675 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: 0630 BUSINESS ADDRESS: STREET 1: 900 CIRCLE 75 PARKWAY STREET 2: SUITE 690 CITY: ATLANTA STATE: GA ZIP: 30339 BUSINESS PHONE: 7709337000 MAIL ADDRESS: STREET 1: 900 CIRCLE 75 PARKWAY STREET 2: SUITE 690 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 X0508 4 2023-08-16 0 0000096793 SUNLINK HEALTH SYSTEMS INC SSY 0001247619 BAILEYS STEVEN J 30691 HUNT CLUB DRIVE SAN JUAN CAPISTRANO CA 92675 1 0 0 0 0 Series C Fractional Interests 2023-08-16 4 A 0 551244 A 551244 D Series C Fractional Interests 2023-08-16 4 A 0 50000 A 50000 I As Trustee, Baileys Grandchildren's Trust FBO Jeremy Baileys Series C Fractional Interests 2023-08-16 4 A 0 50000 A 50000 I As Trustee, Baileys Grandchildren's Trust FBO Alison Brooke Baileys Series C Fractional Interests 2023-08-16 4 A 0 180000 A 180000 I By IRA Series C Fractional Interests 2023-08-16 4 A 0 1600 A 1600 I By Spouse Common Stock 551244 D Common Stock 50000 I As Trustee, Baileys Grandchildren's Trust FBO Jeremy Baileys Common Stock 50000 I As Trustee, Baileys Grandchildren's Trust FBO Alison Brooke Baileys Common Stock 180000 I By IRA Common Stock 1600 I By Spouse On August 2, 2023, the Company declared a dividend per Common Share of one fractional interest in the Corporation's Series C Redeemable Preferred Shares (the "Series C Preferred Shares", and each such fraction of a Series C Preferred Share, a "Series C Fractional Interest"), for each outstanding share of the Company's common shares, no par value per share (the "Common Shares"), payable on August 16, 2023 to shareholders of record at 5:00 p.m. Eastern Time on August 15, 2023. This row reflects direct ownership which has not changed as a result of the transactions reported on this form. This row reflects indirect ownership which has not changed as a result of the transactions reported on this form. M. Timothy Elder, pursuant to a Power of Attorney 2023-08-16