4//SEC Filing
Stachowiak Raymond C 4
Accession 0000744825-21-000059
CIK 0000744825other
Filed
Jun 6, 8:00 PM ET
Accepted
Jun 7, 4:48 PM ET
Size
9.6 KB
Accession
0000744825-21-000059
Insider Transaction Report
Form 4
Stachowiak Raymond C
Director10% Owner
Transactions
- Exercise/Conversion
OPTION TO ACQUIRE
2021-06-03−2,000→ 0 totalExercise: $2.43From: 2015-06-09Exp: 2021-06-09→ Common Stock No Par Value (2,000 underlying) - Disposition to Issuer
Common stock
2020-05-04−5,883→ 232,178 total - Exercise/Conversion
Common Stock No Par Value
2021-06-03$2.43/sh+2,000$4,860→ 234,178 total
Holdings
- 760,559(indirect: By LLC)
Common Stock, No Par Value
- 57,000(indirect: By RCS Investments Inc.)
Common Stock, No Par Value
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
Issuer
AMERICAN SHARED HOSPITAL SERVICES
CIK 0000744825
Entity typeother
Related Parties
1- filerCIK 0001609580
Filing Metadata
- Form type
- 4
- Filed
- Jun 6, 8:00 PM ET
- Accepted
- Jun 7, 4:48 PM ET
- Size
- 9.6 KB