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