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).
  
 Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
1. Name and Address of Reporting Person*
BAILEYS STEVEN J
(Last) (First) (Middle)
30691 HUNT CLUB DRIVE
(Street)
SAN JUAN CAPISTRANO CA 92675
(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
SUNLINK HEALTH SYSTEMS INC [ SSY ] 		5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
10/19/2023
4. If Amendment, Date of Original Filed (Month/Day/Year)
 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
Series C Fractional Interests 10/19/2023 D 551,244 D (1) 0 D
Series C Fractional Interests 10/19/2023 D 50,000 D (1) 0 I As Trustee, Baileys Grandchildren's Trust FBO Jeremy Baileys
Series C Fractional Interests 10/19/2023 D 50,000 D (1) 0 I As Trustee, Baileys Grandchildren's Trust FBO Alison Brooke Baileys
Series C Fractional Interests 10/19/2023 D 180,000 D (1) 0 I By IRA
Series C Fractional Interests 10/19/2023 D 1,600 D (1) 0 I By Spouse
Common Stock(2) 551,244 D
Common Stock(3) 50,000 I As Trustee, Baileys Grandchildren's Trust FBO Jeremy Baileys
Common Stock(3) 50,000 I As Trustee, Baileys Grandchildren's Trust FBO Alison Brooke Baileys
Common Stock(3) 180,000 I By IRA
Common Stock(3) 1,600 I By Spouse
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 Form 4 relates to the automatic redemption of all Series C Fractional Interests for no consideration following shareholder approval of the Issuer's Reincorporation Proposal at a special meeting held on October 19, 2023.
2. This row reflects direct ownership which has not changed as a result of the transactions reported on this form.
3. 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 10/23/2023
** 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
Sunlink Health Systems (AMEX:SSY)
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