SEC Form 4 · accession 0001437749-26-024412
AMERICAN SHARED HOSPITAL SERVICES · AMS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Raymond C Stachowiak
Officer — Executive Chairman · Director · 10% Owner
Period of report
Jul 22, 2026
Accepted (ET)
Jul 24, 2026 · 4:06 pm EDT
Rule 10b5-1 plan
box not checked
Issuer CIK
0000744825
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrant (right to buy)F1 | $1.45 | Jul 22, 2026 | A | 220,000 | A | Jul 22, 2026 | Jul 22, 2027 | Common Stock | 220,000 | 220,000 | I |
Explanation of responses
- F1This warrant is owned directly RCS/TIG Holdings LLC ("RCS/TIG"). As the owner-manager of RCS/TIG, Mr. Raymond Stachowiak is deemed to have indirect beneficial ownership of the securities held by RCS/TIG due to his pecuniary interest therein. The grant of this warrant was approved by the board of directors of American Shared Hospital Services and is exempt from Section 16(b) of the Securities Exchange Act of 1934, as amended, pursuant to Rule 16b-3(d)(1) promulgated thereunder.