Chen Tian Qiao Form 4 Filed 2020-12-16
Total Page:16
File Type:pdf, Size:1020Kb
SECURITIES AND EXCHANGE COMMISSION FORM 4 Statement of changes in beneficial ownership of securities Filing Date: 2020-12-16 | Period of Report: 2020-12-14 SEC Accession No. 0001677229-20-000001 (HTML Version on secdatabase.com) REPORTING OWNER Chen Tian Qiao Mailing Address 2735 SAND HILL ROAD CIK:1677229 #140 Type: 4 | Act: 34 | File No.: 001-15925 | Film No.: 201392786 MENLO PARK CA 94025 Shanda Media LTD Mailing Address Business Address NO. 1 OFFICE BUILDING, NO. 1 OFFICE BUILDING, CIK:1318400| State of Incorp.:D8 | Fiscal Year End: 1231 NO. 690 NO. 690 Type: 4 | Act: 34 | File No.: 001-15925 | Film No.: 201392787 PUDONG, NEW AREA PUDONG, NEW AREA SHANGHAI F4 201203 SHANGHAI F4 201203 8621-5050-4740 Shanda Global Investment Ltd Mailing Address Business Address 2735 SAND HILL ROAD #140 COMMERCE HOUSE, CIK:1758913| State of Incorp.:D8 MENLO PARK CA 94025 WICKHAMS CAY 1 Type: 4 | Act: 34 | File No.: 001-15925 | Film No.: 201392788 P.O. BOX 3140, ROAD TOWN TORTOLA D8 VG1110 6506569560 Shanda Technology Overseas Capital Co. Mailing Address Business Address 391B ORCHARD ROAD 391B ORCHARD ROAD CIK:1633667| State of Incorp.:E9 | Fiscal Year End: 1231 #16-05 #16-05 Type: 4 | Act: 34 | File No.: 001-15925 | Film No.: 201392789 NGEE ANN CITY TOWER B NGEE ANN CITY TOWER B SINGAPORE U0 238874 SINGAPORE U0 238874 65-63610068 Shanda Group USA Ltd Mailing Address Business Address 2735 SAND HILL ROAD COMMERCE HOUSE, CIK:1731231 #140 WICKHAMS CAY 1 Type: 4 | Act: 34 | File No.: 001-15925 | Film No.: 201392790 MENLO PARK CA 94025 P.O.BOX 3140, ROAD TOWN TORTOLA D8 VG1110 6506569560 SHANDA ASSET MANAGEMENT HOLDINGS Ltd Mailing Address Business Address 391B ORCHARD ROAD COMMERCE HOUSE, #16-05 WICKHAMS CAY 1, Copyright © 2020 www.secdatabase.com. All Rights Reserved. Please Consider the Environment Before Printing This Document CIK:1622346| State of Incorp.:D8 | Fiscal Year End: 1231 NGEE ANN CITY TOWER B ROAD TOWN, Type: 4 | Act: 34 | File No.: 001-15925 | Film No.: 201392791 SINGAPORE U0 238874 TORTOLA, D8 VG1110 (65) 63610068 ISSUER COMMUNITY HEALTH SYSTEMS INC Mailing Address Business Address 4000 MERIDIAN BOULEVARD4000 MERIDIAN BOULEVARD CIK:1108109| IRS No.: 133893191 | State of Incorp.:DE | Fiscal Year End: 1231 FRANKLIN TN 37067 FRANKLIN TN 37067 SIC: 8062 General medical & surgical hospitals, nec 615-465-7000 Copyright © 2020 www.secdatabase.com. All Rights Reserved. Please Consider the Environment Before Printing This Document FORM 4 UNITED STATES SECURITIES AND OMB APPROVAL EXCHANGE COMMISSION OMB Number: 3235-0287 ☐ Check this box if no longer Expires: 02/28/2011 subject to Section 16. Form 4 Washington, D.C. 20549 Estimated average burden or Form 5 obligations may hours per response 0.5 continue. See Instruction 1(b). STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 1. Name and Address of Reporting Person * 2. Issuer Name and Ticker or Trading Symbol 5. Relationship of Reporting Person(s) to Issuer Chen Tian Qiao COMMUNITY HEALTH SYSTEMS (Check all applicable) _____ Director __X__ 10% Owner INC [CYH] _____ Officer (give title _____ Other (specify below) below) (Last) (First) (Middle) 3. Date of Earliest Transaction (Month/Day/Year) 12/14/2020 303 TWIN DOLPHIN DRIVE, #6054 (Street) 4. If Amendment, Date Original Filed(Month/Day/Year) 6. Individual or Joint/Group Filing (Check applicable line) ______ Form Filed by One Reporting Person REDWOOD CITY, CA 94065 __X__ Form Filed by More than One Reporting Person (City) (State) (Zip) Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned 1.Title of Security (Instr. 3) 2. 2A. 3. 4. Securities Acquired (A) or 5. Amount of 6. 7. Nature of Transaction Deemed Transaction Disposed of (D) (Instr. 3, 4 and 5) Securities Ownership Indirect Beneficial Date (Month/ Execution Code (Instr. Beneficially Form: Ownership (Instr. Day/Year) Date, if 8) Owned Direct (D) 4) any Following or Indirect (Month/ (A) Reported (I) (Instr. Day/Year) or Transaction(s) 4) Code V Amount (D) Price (Instr. 3 and 4) Common Stock 12/14/2020 S 3,250,000 D $8.5 14,646,441 I See footnote (1) Common Stock 12/14/2020 S 104,599 D $8.7109 14,541,842 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 2. 3. 3A. 4. 5. 6. Date Exercisable 7. Title and 8. Price 9. Number of 10. 11. Nature Derivative Conversion Transaction Deemed Transaction Number and Expiration Date Amount of of Derivative Ownership of Indirect Security or Exercise Date Execution Code of (Month/Day/Year) Securities Derivative Securities Form of Beneficial (Instr. 3) Price of (Month/ Date, if (Instr. 8) Derivative Underlying Security Beneficially Derivative Ownership Derivative Day/Year) any Securities Derivative (Instr. 5) Owned Security: (Instr. 4) Security (Month/ Acquired Security (Instr. 3 Following Direct (D) Day/ (A) or and 4) Reported or Indirect Year) Disposed Transaction(s) (I) (Instr. of (D) (Instr. 4) 4) (Instr. 3, 4, and 5) Amount or Number Date Expiration of Code V (A) (D) Exercisable Date Title Shares Reporting Owners Copyright © 2020 www.secdatabase.com. All Rights Reserved. Please Consider the Environment Before Printing This Document Relationships Reporting Owner Name / Address Director 10% Owner Officer Other Chen Tian Qiao 303 TWIN DOLPHIN DRIVE #6054 X REDWOOD CITY, CA 94065 Shanda Media LTD NO. 1 OFFICE BUILDING, NO. 690 PUDONG, NEW AREA X SHANGHAI, F4 201203 Shanda Global Investment Ltd 303 TWIN DOLPHIN DRIVE #6054 X REDWOOD CITY, CA 94065 Shanda Technology Overseas Capital Co. 391B ORCHARD ROAD #16-05 NGEE ANN CITY TOWER B X SINGAPORE, U0 238874 Shanda Group USA Ltd 303 TWIN DOLPHIN DRIVE #6054 X REDWOOD CITY, CA 94065 SHANDA ASSET MANAGEMENT HOLDINGS Ltd 391B ORCHARD ROAD #16-05 NGEE ANN CITY TOWER B X SINGAPORE, U0 238874 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 Technology Overseas Capital Company Limited. Shanda Technology Overseas Capital Company Limited is the sole shareholder of Shanda Group USA Limited. Shanda Group USA 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 Technology Overseas Capital Company Limited, Shanda Group USA Limited and Shanda Asset Management Holdings Limited may be deemed to be the beneficial owners of such common stock. Signatures /s/ Tianqiao Chen 12/16/2020 /s/ Tianqiao Chen, Director of Shanda Media Limited 12/16/2020 /s/ Tianqiao Chen, Director of Shanda Global Investment Limited 12/16/2020 /s/ Tianqiao Chen, Director of Shanda Technology Overseas Capital Company Limited 12/16/2020 /s/ Tianqiao Chen, Director of Shanda Group USA Limited 12/16/2020 /s/ Tianqiao Chen, Director of Shanda Asset Management Holdings Limited 12/16/2020 ** 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. Copyright © 2020 www.secdatabase.com. All Rights Reserved. Please Consider the Environment Before Printing This Document.