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)
303 TWIN DOLPHIN DRIVE
#6054

(Street)
REDWOOD CITY CA 94065

(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)
01/15/2021
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 01/15/2021 S 3,557,369 D $8.5096 10,984,473 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
1. Name and Address of Reporting Person*
Chen Tian Qiao

(Last) (First) (Middle)
303 TWIN DOLPHIN DRIVE
#6054

(Street)
REDWOOD CITY CA 94065

(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 Global Investment Ltd

(Last) (First) (Middle)
303 TWIN DOLPHIN DRIVE
#6054

(Street)
REDWOOD CITY CA 94065

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

(Last) (First) (Middle)
391B ORCHARD ROAD #16-05
NGEE ANN CITY TOWER B

(Street)
SINGAPORE U0 238874

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

(Last) (First) (Middle)
391B ORCHARD ROAD #16-05
NGEE ANN CITY TOWER B

(Street)
SINGAPORE U0 238874

(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 Global Investment Limited, which is the sole shareholder of Shanda Global Capital Limited (f/k/a Shanda Technology Overseas Capital Company Limited). Shanda Global Capital Limited is the sole shareholder of Shanda Asset Management Holdings Limited. Therefore each of Mr. Tianqiao Chen, Shanda Media Limited, Shanda Global Investment Limited, Shanda Global Capital Limited, and Shanda Asset Management Holdings Limited may be deemed to be the beneficial owners of such common stock.
/s/ Tianqiao Chen 01/20/2021
/s/ Tianqiao Chen, Director of Shanda Media Limited 01/20/2021
/s/ Tianqiao Chen, Director of Shanda Global Investment Limited 01/20/2021
/s/ Tianqiao Chen, Director of Shanda Global Capital Limited 01/20/2021
/s/ Tianqiao Chen, Director of Shanda Asset Management Holdings Limited 01/20/2021
** 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).
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