<SEC-DOCUMENT>0000950103-17-000179-index.html : 20170105
<SEC-HEADER>0000950103-17-000179.hdr.sgml : 20170105
<ACCEPTANCE-DATETIME>20170105190444
ACCESSION NUMBER:		0000950103-17-000179
CONFORMED SUBMISSION TYPE:	4
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20170103
FILED AS OF DATE:		20170105
DATE AS OF CHANGE:		20170105

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:		2 EMBARCADERO CENTER
		STREET 2:		SUITE 410
		CITY:			SAN FRANCISCO
		STATE:			CA
		ZIP:			94111
		BUSINESS PHONE:		415-788-5300

	MAIL ADDRESS:	
		STREET 1:		2 EMBARCADERO CENTER
		STREET 2:		SUITE 410
		CITY:			SAN FRANCISCO
		STATE:			CA
		ZIP:			94111

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			Stachowiak Raymond C
		CENTRAL INDEX KEY:			0001609580

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-08789
		FILM NUMBER:		17512440

	MAIL ADDRESS:	
		STREET 1:		C/O ASHS
		STREET 2:		2 EMBARCADERO CENTER-SUITE 410
		CITY:			SAN FRANCISCO
		STATE:			CA
		ZIP:			94111
</SEC-HEADER>
<DOCUMENT>
<TYPE>4
<SEQUENCE>1
<FILENAME>dp71746_4-stachowiak.xml
<DESCRIPTION>FORM 4
<TEXT>
Document 1 - file: dp71746_4-stachowiak.html

Document 1 - RAW XML: dp71746_4-stachowiak.xml

</DOCUMENT>
</SEC-DOCUMENT>