0000950103-16-014084.txt : 20160610 0000950103-16-014084.hdr.sgml : 20160610 20160610160314 ACCESSION NUMBER: 0000950103-16-014084 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160608 FILED AS OF DATE: 20160610 DATE AS OF CHANGE: 20160610 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: BATES ERNEST A CENTRAL INDEX KEY: 0000946042 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08789 FILM NUMBER: 161708654 MAIL ADDRESS: STREET 1: FOUR EMBARCADERO CENTER 3620 CITY: SAN FRANCISO STATE: CA ZIP: 94111-4155 4 1 dp66458_4-bates.xml FORM 4 X0306 4 2016-06-08 0 0000744825 AMERICAN SHARED HOSPITAL SERVICES AMS 0000946042 BATES ERNEST A FOUR EMBARCADERO CENTER, SUITE 3700 SAN FRANCISO CA 94111 1 1 1 0 Chairman and CEO Common Stock 2016-06-08 4 P 0 400 2.08 A 588870 D Common Stock 2016-06-08 4 P 0 100 2.09 A 588970 D /s/ Chloe Tagawa on behalf of Ernest A. Bates, MD 2016-06-10