0001610616-14-000001.txt : 20140624
0001610616-14-000001.hdr.sgml : 20140624
20140616163809
ACCESSION NUMBER: 0001610616-14-000001
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140610
FILED AS OF DATE: 20140616
DATE AS OF CHANGE: 20140616
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: FOUR EMBARCADERO CENTER
STREET 2: SUITE 3700
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111-4107
BUSINESS PHONE: 415-788-5300
MAIL ADDRESS:
STREET 1: FOUR EMBARCADERO CENTER
STREET 2: SUITE 3700
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94111-4107
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Larson David
CENTRAL INDEX KEY: 0001610616
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-08789
FILM NUMBER: 14923133
MAIL ADDRESS:
STREET 1: 80 CERRITOS AVE
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94127
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2014-06-10
0
0000744825
AMERICAN SHARED HOSPITAL SERVICES
AMS
0001610616
Larson David
80 CERRITOS AVE
SAN FRANCISCO
CA
94127
1
0
0
0
COMMON STOCK
2014-06-10
4
A
0
7576
0
A
35292
D
COMMON STOCK
2014-06-10
4
A
0
500
0
A
35792
D
STOCK OPTION (RIGHT TO BUY)
2.43
2014-06-10
4
A
0
2000
0
A
2014-06-10
2021-06-09
COMMON STOCK
2000
2000
D
THIS REPRESENTS AN AWARD OF RESTRICTED STOCK UNITS AWARDED ANNUALLY TO EACH BOARD OF DIRECTOR IN LIEU OF RECEIPT OF QUARTERLY CASH COMPENSATION. EACH UNIT WILL ENTITLE THE REPORTING PERSON TO ONE SHARE OF THE ISSUER'S COMMON STOCK UPON VESTING. THE AWARD WAS GRANTED ON JANUARY 2, 2014 (THE FIRST BUSINESS DAY OF THE CALENDAR YEAR) AND DIVIDED INTO FOUR SEPARATE AMOUNTS OF COMMON STOCK THAT VEST AT THREE MONTHS, SIX MONTHS, NINE MONTHS AND TWELVE MONTHS, RESPECTIVELY. THE AWARD WAS GRANTED FOR THE CALENDAR YEAR OF 2014 BUT THE COMPANY PREVIOUSLY DID NOT FILE A FORM 4 ON BEHALF OF EACH BOARD OF DIRECTOR FOR THIS 2014 AWARD.
INCLUDES 7,576 SHARES SUBJECT TO THE RESTRICTED STOCK UNIT AWARD WHICH WILL VEST IN FULL ON THE VESTING DATE.
THIS REPRESENTS AN AWARD OF RESTRICTED STOCK UNITS. EACH UNIT WILL ENTITLE THE REPORTING PERSON TO ONE SHARE OF THE ISSUER'S COMMON STOCK UPON VESTING. THE UNITS WILL VEST IN FULL UPON THE EARLIER OF (I) THE REPORTING PERSON'S COMPLETION OF ONE YEAR OF SERVICE MEASURED FROM JUNE 10, 2014, OR SUCH INDIVIDUAL'S CONTINUATION IN BOARD SERVICE THROUGH THE DAY IMMEDIATELY PRECEDING THE 2015 ANNUAL SHAREHOLDERS MEETING (THE "VESTING DATE").
INCLUDES 500 SHARES SUBJECT TO THE REPORTED RESTRICTED STOCK UNIT AWARD WHICH WILL VEST IN FULL ON THE VESTING DATE.
THE REPORTED STOCK OPTION WILL VEST IN FULL UPON THE EARLIER OF (I) THE REPORTING PERSON'S COMPLETION OF ONE YEAR OF SERVICE MEASURED FROM JUNE 10, 2014, OR (II) SUCH INDIVIDUAL'S CONTINUATION IN BOARD SERVICE THROUGH THE DAY IMMEDIATELY PRECEDING THE 2015 ANNUAL SHAREHOLDERS MEETING (THE "VESTING DATE").
ERIC OHWA ON BEHALF OF DAVID A LARSON, MD
2014-06-16