Filing Details

Accession Number:
0001609580-14-000003
Form Type:
4
Zero Holdings:
No
Publication Time:
2014-10-24 15:30:52
Reporting Period:
2014-10-22
Filing Date:
2014-10-24
Accepted Time:
2014-10-24 15:30:52
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
744825 American Shared Hospital Services AMS Services-Medical Laboratories (8071) 942918118
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1609580 C Raymond Stachowiak C/O Ashs
Four Embarcadero Center
San Francisco CA 94111-4107
Yes No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock, No Par Value Acquisiton 2014-10-22 100,000 $2.20 555,500 No 4 P Indirect By RCS Investments Inc.
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect By RCS Investments Inc.
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Warrants (right to purchase) Acquisiton 2014-10-22 100,000 $0.00 100,000 $2.20
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
100,000 2015-10-22 2017-10-22 No 4 A Indirect
Footnotes
  1. 1. Includes 500 shares previously reported as owned directly by the Reporting Person.