Sunshine Heart Inc. (NASDAQ:SSH): Ki Yong Choi Files A New 13D

Page 2 of 5 – SEC Filing
CUSIP No.  86782U304

1.            Names of Reporting Persons

Ki Yong Choi

IRS Identification Nos. of Above Persons
(Entities Only)

2.             Check
the Appropriate Box if a Member of a Group (See Instructions)

(a) ¨

(b) x

3.             SEC Use Only

4.             Source of Funds (See Instructions)         PF
5.             Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e) ¨

6.             Citizenship or Place of Organization
United States

Number of Shares Beneficially Owned by Each Reporting Person
With:

7.             Sole Voting Power               100,000

8.             Shared Voting Power           0

9.             Sole Dispositive Power       100,000

10.           Shared Dispositive Power   0

11.           Aggregate Amount Beneficially Owned by Each Reporting Person     100,000

12.           Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) ¨

13.           Percent of Class Represented by Amount in Row (11) 6.1% (1)

14.           Type of Reporting Person (See Instructions)     IN

(1) Based on 1,636,743 shares of common stock outstanding as
of February 10, 2017 as reported by the Company in its registration statement on Form S-1, file no. 333-216053, filed with the
Securities and Exchange Commission on February 14, 2017.

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