Initial Statement of Beneficial Ownership (3)
August 19 2016 - 9:54AM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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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
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2. Date of Event Requiring Statement (MM/DD/YYYY)
8/16/2016
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3. Issuer Name
and
Ticker or Trading Symbol
COMMUNITY HEALTH SYSTEMS INC [cyh]
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(Last)
(First)
(Middle)
8 STEVENS ROAD,
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
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X
___ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Street)
SINGAPORE, U0 257819
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person
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X
_ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock, $0.10 par value
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9352772
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I
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Please see footnote
(1)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Call Option (obligation to sell)
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7/7/2016
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8/19/2016
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Common Stock
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1886000
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$14
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I
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Please see footnote
(2)
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Call Option (obligation to sell)
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7/13/2016
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8/19/2016
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Common Stock
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294300
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$14
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I
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Please see footnote
(2)
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Call Option (obligation to sell)
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7/14/2016
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8/19/2016
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Common Stock
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57800
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$14
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I
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Please see footnote
(2)
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Call Option (obligation to sell)
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7/15/2016
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8/19/2016
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Common Stock
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113300
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$14
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I
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Please see footnote
(2)
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Call Option (obligation to sell)
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7/18/2016
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8/19/2016
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Common Stock
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1420700
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$14
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I
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Please see footnote
(2)
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Put Option (obligation to buy)
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7/27/2016
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8/19/2016
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Common Stock
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1000000
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$11
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I
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Please see footnote
(2)
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Put Option (obligation to buy)
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7/28/2016
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8/19/2016
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Common Stock
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912000
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$12
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I
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Please see footnote
(2)
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Call Option (right to buy)
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8/3/2016
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9/16/2016
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Common Stock
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300000
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$11
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I
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Please see footnote
(2)
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Put Option (obligation to buy)
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8/3/2016
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9/16/2016
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Common Stock
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2000000
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$11
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I
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Please see footnote
(2)
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Call Option (right to buy)
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8/4/2016
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9/16/2016
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Common Stock
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21900
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$11
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I
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Please see footnote
(2)
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Call Option (right to buy)
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8/11/2016
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9/16/2016
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Common Stock
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1000000
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$10
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I
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Please see footnote
(2)
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Call Option (right to buy)
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8/12/2016
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9/16/2016
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Common Stock
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700000
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$10
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I
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Please see footnote
(2)
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Explanation of Responses:
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(
1)
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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.
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(
2)
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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.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Chen Tian Qiao
8 STEVENS ROAD
SINGAPORE, U0 257819
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X
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Shanda Media LTD
NO. 1 OFFICE BUILDING, NO. 690
PUDONG, NEW AREA
SHANGHAI, F4 201203
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X
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Shanda Investment Group Ltd
FIRST REGISTER OFFICE
WOODBOURNE HALL, ROAD TOWN
TORTOLA, D8 00000
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X
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Shanda Technology Overseas Capital Co.
REGISTERED OFFICE, CRICKET SQUARE
HUTCHINS DRIVE, PO BOX 2681
GRAND CAYMAN, E9 KY1-1111
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X
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SHANDA ASSET MANAGEMENT HOLDINGS Ltd
8 STEVENS ROAD
SINGAPORE, U0 257819
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X
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Signatures
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/s/ Tianqiao Chen
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8/19/2016
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**
Signature of Reporting Person
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Date
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/s/ Tianqiao Chen, Director of Shanda Media Limited
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8/19/2016
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**
Signature of Reporting Person
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Date
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/s/ Tianqiao Chen, Director of Shanda Investment Group Limited
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8/19/2016
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**
Signature of Reporting Person
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Date
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/s/ Tianqiao Chen, Director of Shanda Technology Overseas Capital Company Limited
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8/19/2016
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**
Signature of Reporting Person
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Date
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/s/ Tianqiao Chen, Director of Shanda Asset Management Holdings Limited
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8/19/2016
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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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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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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 control number.
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