Raymond C. Stachowiak - 04 May 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
Issuer symbol: AMS
Transactions as of: 04 May 2020
Net transactions value: +$4,860
Form type: 4
Filing time: 07 Jun 2021, 16:48:12 UTC
Next filing: 02 Jul 2021
SEC: View on sec.gov

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	AMS	Common stock	Disposed to Issuer	$0	-5,883	-2.5%	$0.000000	232,178	04 May 2020	Direct	F1
transaction	AMS	Common Stock No Par Value	Options Exercise	$4,860	+2,000	+0.86%	$2.43	234,178	03 Jun 2021	Direct
holding	AMS	Common Stock, No Par Value						57,000	04 May 2020	By RCS Investments Inc.
holding	AMS	Common Stock, No Par Value						760,559	04 May 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	-2,000	-100%	$0.000000^*	0	03 Jun 2021	Common Stock No Par Value	2,000	$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.