SEC FORM 4 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).
1. Name and Address of Reporting Person*
Chen Tian Qiao

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

(Street)
SINGAPORE U0 257819

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
COMMUNITY HEALTH SYSTEMS INC [ CYH ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
09/16/2016
4. 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 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
Common Stock 09/16/2016 X 1,310,000 A $8 12,574,772 I See footnote(1)
Common Stock 09/16/2016 X 114,300 A $8 12,689,072 I See footnote(1)
Common Stock 09/16/2016 X 1,000,000 A $10 13,689,072 I See footnote(1)
Common Stock 09/16/2016 X 700,000 A $10 14,389,072 I See footnote(1)
Common Stock 09/16/2016 X 300,000 A $11 14,689,072 I See footnote(1)
Common Stock 09/16/2016 X 21,900 A $11 14,710,972 I See footnote(1)
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
Call Option (right to buy) $8 09/16/2016 X 13,100 08/19/2016 09/16/2016 Common Stock 1,310,000 $0 1,143 I See footnote(2)
Call Option (right to buy) $8 09/16/2016 X 1,143 08/22/2016 09/16/2016 Common Stock 114,300 $0 0 I See footnote(2)
Call Option (right to buy) $10 09/16/2016 X 10,000 08/11/2016 09/16/2016 Common Stock 1,000,000 $0 7,000 I See footnote(2)
Call Option (right to buy) $10 09/16/2016 X 7,000 08/12/2016 09/16/2016 Common Stock 700,000 $0 0 I See footnote(2)
Call Option (right to buy) $11 09/16/2016 X 3,000 08/03/2016 09/16/2016 Common Stock 300,000 $0 219 I See footnote(2)
Call Option (right to buy) $11 09/16/2016 X 219 08/04/2016 09/16/2016 Common Stock 21,900 $0 0 I See footnote(2)
Put Option (obligation to buy) $11 09/16/2016 E V 20,000 08/03/2016 09/16/2016 Common Stock 2,000,000 $0 0 I See footnote(3)
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 Table I is 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 be the beneficial owners of such common stock.
2. The call options disclosed in this Table II were directly held by Shanda Asset Management Holdings Limited.
3. The put options set forth in Table II represented an obligation on the part of Shanda Asset Management Holdings Limited to buy the underlying common stock from the holders of such options, at such holders' discretion and were sold by Shanda Asset Management Holdings Limited before the reporting persons became subject to Section 16.
Tianqiao Chen 09/20/2016
Tianqiao Chen, Director of Shanda Media Limited 09/20/2016
Tianqiao Chen, Director of Shanda Investment Group Limited 09/20/2016
Tianqiao Chen, Director of Shanda Technology Overseas Capital Company Limited 09/20/2016
Tianqiao Chen, Director of Shanda Asset Management Holdings Limited 09/20/2016
** Signature of Reporting Person Date
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