SEC Form 4/A · accession 0001209191-18-053095
COMMUNITY HEALTH SYSTEMS INC · CYH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Beryl Ramsey
Officer — Division President
Period of report
Oct 1, 2018
Accepted (ET)
Oct 2, 2018 · 4:13 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001108109
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance Based RestrictedF1,F2 | $0.00 | holding | — | — | — | Mar 1, 2021 | Feb 28, 2028 | Common Stock | 30,000 | 30,000 | D |
Explanation of responses
- F1This Amendment is being filed solely to clarify that the performance-based restricted stock award listed in Table II of the Form 4 filed for the reporting person on 10/1/2018 was included for informational purposes only. Such award was previously reported in a Form 4 filed for the reporting person on 3/2/2018.
- F2The vesting of these performance-based restricted shares is subject to the attainment of certain performance objectives between January 1, 2018 and December 31, 2020 (the "2018-2020 Performance Period"). The target number (100%) of the total performance-based restricted shares is reported in the table set forth above. Between 0% and 200% of the target number of performance-based restricted shares subject to the attainment of the applicable performance measures will ultimately vest on the third anniversary of the date of grant, with the vesting percentage to be determined based upon achievement with respect to the applicable criteria during the 2018-2020 Performance Period.