-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, O5n6vru7fcjHe63qvrI1QLMCqKyZN2eJbW/ks68vK2QdHGsq+TPyOhxyOu/h+6io MAWVIBEZsxcMrlv8SyDBmQ== 0001179110-05-013484.txt : 20050701 0001179110-05-013484.hdr.sgml : 20050701 20050701145117 ACCESSION NUMBER: 0001179110-05-013484 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050630 FILED AS OF DATE: 20050701 DATE AS OF CHANGE: 20050701 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MICHELSON MICHAEL W CENTRAL INDEX KEY: 0001182415 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16609 FILM NUMBER: 05932754 MAIL ADDRESS: STREET 1: 2800 SAND HILL ROAD STREET 2: SUITE 200 CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ALLIANCE IMAGING INC /DE/ CENTRAL INDEX KEY: 0000817135 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] IRS NUMBER: 330239910 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1065 N PACIFICENTER DR STREET 2: STE 200 CITY: ANAHEIM STATE: CA ZIP: 92806-2131 BUSINESS PHONE: 7146887100 MAIL ADDRESS: STREET 1: 1065 N PACIFICENTER DR STREET 2: STE 200 CITY: ANAHEIM STATE: CA ZIP: 92806-2131 4 1 edgar.xml FORM 4 - X0202 4 2005-06-30 0 0000817135 ALLIANCE IMAGING INC /DE/ AIQ 0001182415 MICHELSON MICHAEL W 1900 S. STATE COLLEGE BLVD. SUITE 600 ANAHEIM CA 92806 1 0 0 0 Phantom Stock 10.46 2005-06-30 4 A 0 597.5 10.46 A common stock 597.5 21717.894 D The phantom shares are to be settled in common stock upon the reporting person's separation from the issuer's Board of Directors on a one for one basis for shares of common stock. The phantom stock units were accrued under the Issuer's Directors' Deferred Compensation Plan during the second quarter of 2005 at $10.46 per phantom share. Russell D. Phillips, Jr. 2005-07-01 -----END PRIVACY-ENHANCED MESSAGE-----