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AMS American Shared Hospital Services

3.06
-0.06 (-1.92%)
27 Apr 2024 - Closed
Delayed by 15 minutes
Share Name Share Symbol Market Type
American Shared Hospital Services AMEX:AMS AMEX Common Stock
  Price Change % Change Share Price High Price Low Price Open Price Shares Traded Last Trade
  -0.06 -1.92% 3.06 3.23 3.1301 3.17 11,343 01:00:00

Initial Statement of Beneficial Ownership (3)

15/09/2017 9:11pm

Edgar (US Regulatory)


FORM 3
        
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response...
0.5
                      
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

Lawrence Sandra AJ

2. Date of Event Requiring Statement (MM/DD/YYYY)
9/7/2017 

3. Issuer Name and Ticker or Trading Symbol

AMERICAN SHARED HOSPITAL SERVICES [AMS]

(Last)        (First)        (Middle)

2 EMBARCADERO CENTER - SUITE 410

4. Relationship of Reporting Person(s) to Issuer (Check all applicable)

__ X __ Director                            _____ 10% Owner
_____ Officer (give title below)          _____ Other (specify below)

(Street)

SAN FRANCISCO, CA 94111       

(City)              (State)              (Zip)
5. If Amendment, Date Original Filed (MM/DD/YYYY)

 

6. Individual or Joint/Group Filing (Check Applicable Line)

_ X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person


Table I - Non-Derivative Securities Beneficially Owned
1.Title of Security
(Instr. 4)
2. Amount of Securities Beneficially Owned
(Instr. 4)
3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
4. Nature of Indirect Beneficial Ownership
(Instr. 5)
Common Stock, No Par Value   500   (1) D    

Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 4)
2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
4. Conversion or Exercise Price of Derivative Security 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
6. Nature of Indirect Beneficial Ownership
(Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Options (right to buy)     (2) 9/6/2024   Common Stock   5000   (2) $2.85   D    

Explanation of Responses:
(1)  This represents restricted stock units, each of which 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 or (II) such individual's continuation in Board service through the day immediately preceding the 2018 Annual Shareholders Meeting.
(2)  The reported stock options will vest and become exercisable in full upon the earlier of (I) the reporting person's completion of one year of service or (II) such individual's continuation in Board service through the day immediately preceding the 2018 Annual Shareholders Meeting.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
Lawrence Sandra AJ
2 EMBARCADERO CENTER - SUITE 410
SAN FRANCISCO, CA 94111
X



Signatures
/s/ Craig Tagawa on behalf of Sandra A.J. Lawrence 9/15/2017
** Signature of Reporting Person Date


Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.

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