SEC Form 4 · accession 0000950103-18-000152
AMERICAN SHARED HOSPITAL SERVICES · AMS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Raymond C Stachowiak
Director · 10% Owner
Period of report
Jan 2, 2018
Accepted (ET)
Jan 4, 2018 · 5:24 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000744825
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, No Par ValueF1 | Jan 2, 2018 | A | 7,844 | $0.00 | A | 61,553 | D | |
| Common Stock, No Par Value | holding | — | — | — | 56,500 | I | By RCS Investments Inc. | |
| Common Stock, No Par Value | holding | — | — | — | 600,000 | I | By Stachowiak Equity Fund LLC |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Deferred restricted stock units vesting equally over four (4) successive quarters from the transaction date, but not issued until termination of the reporting person's service to the issuer.