AMERICAN SHARED HOSPITAL SERVICES·4

Jun 7, 4:48 PM ET

Stachowiak Raymond C 4

4 · AMERICAN SHARED HOSPITAL SERVICES · Filed Jun 7, 2021

Insider Transaction Report

Form 4
Period: 2020-05-04
Stachowiak Raymond C
Director10% Owner
Transactions
  • Exercise/Conversion

    OPTION TO ACQUIRE

    2021-06-032,0000 total
    Exercise: $2.43From: 2015-06-09Exp: 2021-06-09Common Stock No Par Value (2,000 underlying)
  • Disposition to Issuer

    Common stock

    2020-05-045,883232,178 total
  • Exercise/Conversion

    Common Stock No Par Value

    2021-06-03$2.43/sh+2,000$4,860234,178 total
Holdings
  • Common Stock, No Par Value

    (indirect: By LLC)
    760,559
  • Common Stock, No Par Value

    (indirect: By RCS Investments Inc.)
    57,000
Footnotes (1)
  • [F1]Mr. Stachowiak forfeited 5,883 Restricted STock Units in connections with his appointment as the Issuer's Interim President and Chief Executive Officer Effective May 4, 2020.

Documents

1 file
  • 4
    wf-form4_162309887218758.xmlPrimary

    FORM 4