SEC Form 4 · accession 0001209191-16-143404
COMMUNITY HEALTH SYSTEMS INC · CYH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James S. Ely III
Director
Period of report
Sep 30, 2016
Accepted (ET)
Sep 30, 2016 · 6:13 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001108109
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | holding | — | — | — | 43,798 | D | ||
| Common Stock | holding | — | — | — | 4,990 | I | By E5 Investors LLC |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Units (SU)F1 | $0.00 | Sep 30, 2016 | A | 2,600 | A | — | — | Common Stock | 2,600 | 10,601 | D |
| Restricted Stock Units | $0.00 | holding | — | — | — | Mar 1, 2015 | Feb 29, 2024 | Common Stock | 1,474 | 1,474 | D |
| Restricted Stock Units | $0.00 | holding | — | — | — | Mar 1, 2016 | Feb 28, 2025 | Common Stock | 2,859 | 2,859 | D |
| Restricted Stock Units | $0.00 | holding | — | — | — | Mar 1, 2017 | Feb 28, 2026 | Common Stock | 13,484 | 13,484 | D |
Explanation of responses
- F1The Stock Units were accrued under the Company's Directors' Fees Deferral Plan in lieu of a portion of the Reporting Person's Director Fees and are settled 100% in the Company's common stock upon cessation as a director or upon a date specified by the director.