SEC Form 4 · accession 0001209191-16-110675

Alliance HealthCare Services, Inc · AIQ

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Principal Accounting Officer

Period of report

Mar 23, 2016

Accepted (ET)

Mar 25, 2016 · 7:12 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0000817135

Table I — non-derivative securities

No Table I lines on this filing.

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Employee Stock Option (Right to Buy)^F1	$6.93	Mar 23, 2016	A	886	A	—	Mar 23, 2026	Common Stock	886	886	D
Restricted Stock Units^F2	—	Mar 23, 2016	A	534	A	—	—	Common Stock	534	534	D
Employee Stock Option (Right to Buy)^F3	$7.02	Mar 25, 2016	A	130	A	—	Mar 25, 2026	Common Stock	130	130	D
Restricted Stock Units^F4	—	Mar 25, 2016	A	79	A	—	—	Common Stock	79	79	D

F1Vests in three substantially equal installments on each of March 23, 2017, 2018 and 2019, subject to continued service through each applicable vesting date.
F2Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock. The restricted stock units vest in three substantially equal installments on each of March 23, 2017, 2018 and 2019, subject to continued service through each applicable vesting date.
F3Vests in three substantially equal installments on each of March 25, 2017, 2018 and 2019, subject to continued service through each applicable vesting date.
F4Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock. The restricted stock units vest in three substantially equal installments on each of March 25, 2017, 2018 and 2019, subject to continued service through each applicable vesting date.