Raymond C. Stachowiak - May 4, 2020 Form 4 Insider Report for AMERICAN SHARED HOSPITAL SERVICES (AMS)

Role: CEO, Director, 10%+ Owner
Signature: /s/ Craig K. Tagawa on behalf of Raymond C. Stachowiak
Stock symbol: AMS
Transactions as of: May 4, 2020
Transactions value $: $4,860
Form type: 4
Date filed: 6/7/2021, 04:48 PM
Next filing: Jul 2, 2021

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	AMS	Common stock	Disposed to Issuer	$0	-5.88K	-2.47%	$0.00	232K	May 4, 2020	Direct	F1
transaction	AMS	Common Stock No Par Value	Options Exercise	$4.86K	+2K	+0.86%	$2.43	234K	Jun 3, 2021	Direct
holding	AMS	Common Stock, No Par Value						57K	May 4, 2020	By RCS Investments Inc.
holding	AMS	Common Stock, No Par Value						761K	May 4, 2020	By Stachowiak Equity Fund LLC

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Underlying Class	Amount	Exercise Price	Ownership	Footnotes
transaction	AMS	OPTION TO ACQUIRE	Options Exercise	$0	-2K	-100%	$0.00^*	0	Jun 3, 2021	Common Stock No Par Value	2K	$2.43	Direct

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	Mr. Stachowiak forfeited 5,883 Restricted STock Units in connections with his appointment as the Issuer's Interim President and Chief Executive Officer Effective May 4, 2020.