SEC Form 4 · accession 0001609957-17-000001
AMERICAN SHARED HOSPITAL SERVICES · AMS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Craig Kenji Tagawa
Officer — COO/CFO
Period of report
Jan 4, 2017
Accepted (ET)
Jan 6, 2017 · 5:42 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 StockF1 | Jan 4, 2017 | A | 58,824 | $0.00 | A | 87,496 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents 58,824 performance shares granted to the Reporting Person on January 4, 2017 that will vest upon the Issuer's achievement of pre-determined sales, earnings and related metrics prior to March 31, 2020.