0001437749-23-010849.txt : 20230421 0001437749-23-010849.hdr.sgml : 20230421 20230421201426 ACCESSION NUMBER: 0001437749-23-010849 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230417 FILED AS OF DATE: 20230421 DATE AS OF CHANGE: 20230421 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HIATT ROBERT L CENTRAL INDEX KEY: 0001205529 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08789 FILM NUMBER: 23837703 MAIL ADDRESS: STREET 1: C/O BARACK FERRAZZANO STREET 2: 333 W WACKER #2700 CITY: CHICAGO STATE: IL ZIP: 60606 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN SHARED HOSPITAL SERVICES CENTRAL INDEX KEY: 0000744825 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] IRS NUMBER: 942918118 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 601 MONTGOMERY STREET STREET 2: SUITE 1112 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 BUSINESS PHONE: 415-788-5300 MAIL ADDRESS: STREET 1: 601 MONTGOMERY STREET STREET 2: SUITE 1112 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 4 1 rdgdoc.xml FORM 4 X0407 4 2023-04-17 0000744825 AMERICAN SHARED HOSPITAL SERVICES AMS 0001205529 HIATT ROBERT L 601 MONTGOMERY STREET SAN FRANCISCO CA 94111 1 Chief Financial Officer 0 Stock Options (Right to Buy) 2.78 2023-04-17 4 A 0 20000 0 A 2028-04-17 Common Stock 20000 20000 D The option will vest in 5 equal annual installments beginning on April 17, 2024. /s/ Craig K. Tagawa 2023-04-19