SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Chen Tian Qiao

(Last) (First) (Middle)
8 STEVENS ROAD

(Street)
SINGAPORE U0 257819

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/16/2016
3. Issuer Name and Ticker or Trading Symbol
COMMUNITY HEALTH SYSTEMS INC [ cyh ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock, $0.10 par value 9,352,772 I Please see footnote(1)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Call Option (obligation to sell) 07/07/2016 08/19/2016 Common Stock 1,886,000 14 I Please see footnote(2)
Call Option (obligation to sell) 07/13/2016 08/19/2016 Common Stock 294,300 14 I Please see footnote(2)
Call Option (obligation to sell) 07/14/2016 08/19/2016 Common Stock 57,800 14 I Please see footnote(2)
Call Option (obligation to sell) 07/15/2016 08/19/2016 Common Stock 113,300 14 I Please see footnote(2)
Call Option (obligation to sell) 07/18/2016 08/19/2016 Common Stock 1,420,700 14 I Please see footnote(2)
Put Option (obligation to buy) 07/27/2016 08/19/2016 Common Stock 1,000,000 11 I Please see footnote(2)
Put Option (obligation to buy) 07/28/2016 08/19/2016 Common Stock 912,000 12 I Please see footnote(2)
Call Option (right to buy) 08/03/2016 09/16/2016 Common Stock 300,000 11 I Please see footnote(2)
Put Option (obligation to buy) 08/03/2016 09/16/2016 Common Stock 2,000,000 11 I Please see footnote(2)
Call Option (right to buy) 08/04/2016 09/16/2016 Common Stock 21,900 11 I Please see footnote(2)
Call Option (right to buy) 08/11/2016 09/16/2016 Common Stock 1,000,000 10 I Please see footnote(2)
Call Option (right to buy) 08/12/2016 09/16/2016 Common Stock 700,000 10 I Please see footnote(2)
1. Name and Address of Reporting Person*
Chen Tian Qiao

(Last) (First) (Middle)
8 STEVENS ROAD

(Street)
SINGAPORE U0 257819

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Shanda Media LTD

(Last) (First) (Middle)
NO. 1 OFFICE BUILDING, NO. 690
PUDONG, NEW AREA

(Street)
SHANGHAI F4 201203

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Shanda Investment Group Ltd

(Last) (First) (Middle)
FIRST REGISTER OFFICE
WOODBOURNE HALL, ROAD TOWN

(Street)
TORTOLA D8 00000

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Shanda Technology Overseas Capital Co.

(Last) (First) (Middle)
REGISTERED OFFICE, CRICKET SQUARE
HUTCHINS DRIVE, PO BOX 2681

(Street)
GRAND CAYMAN E9 KY1-1111

(City) (State) (Zip)
1. Name and Address of Reporting Person*
SHANDA ASSET MANAGEMENT HOLDINGS Ltd

(Last) (First) (Middle)
8 STEVENS ROAD

(Street)
SINGAPORE U0 257819

(City) (State) (Zip)
Explanation of Responses:
1. The common stock disclosed in this Form 3 are directly held by Shanda Asset Management Holdings Limited. Mr. Tianqiao Chen is the sole shareholder of Shanda Media Limited. Shanda Media Limited owns 70% of all outstanding and issued shares of Shanda Investment Group Limited which is the sole shareholder of Shanda Technology Overseas Capital Company Limited. Shanda Technology Overseas Capital Company Limited is the sole shareholder of Shanda Asset Management Holdings Limited. Therefore each of Mr. Tianqiao Chen, Shanda Media Limited, Shanda Investment Group Limited, Shanda Technology Overseas Capital Company Limited and Shanda Asset Management Holdings Limited may be deemed to have beneficial ownership over the common stock held by Shanda Asset Management Holdings Limited.
2. The options disclosed in this Form 3 were purchased or sold, as applicable, by Shanda Asset Management Holdings Limited before the reporting persons became subject to Section 16.
/s/ Tianqiao Chen 08/19/2016
/s/ Tianqiao Chen, Director of Shanda Media Limited 08/19/2016
/s/ Tianqiao Chen, Director of Shanda Investment Group Limited 08/19/2016
/s/ Tianqiao Chen, Director of Shanda Technology Overseas Capital Company Limited 08/19/2016
/s/ Tianqiao Chen, Director of Shanda Asset Management Holdings Limited 08/19/2016
** 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 5 (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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