California
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94-2918118
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(State
or other jurisdiction
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(IRS
Employer Identification No.)
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of
incorporation or organization)
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Title of Securities to be Registered
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Amount to be
Registered(1)
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Proposed Maximum
Offering Price
Per Share(2)
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Proposed Maximum
Aggregate Offering
Price(2)
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Amount of
Registration Fee
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Common
Stock, no par value, to be issued pursuant to the American Shared Hospital
Services Incentive Compensation Plan (formerly known as the
2006 Stock Incentive Plan)
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880,000
shares
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$ | 2.86 | $ | 2,516,800 | $ | 179.45 |
(1)
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This
Registration Statement shall also cover any additional shares of Common
Stock which become issuable under the Registrant’s Incentive
Compensation Plan by reason of any stock dividend, stock split,
recapitalization or other similar transaction effected without the
Registrant’s receipt of consideration which results in an increase in the
number of the outstanding shares of Registrant’s Common
Stock.
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(2)
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Calculated
solely for purposes of this offering under Rule 457(h) of the
Securities Act of 1933, as amended, on the basis of the average of the
high and low selling prices per share of Registrant’s Common Stock on
November 10, 2010 as reported by the NYSE
Amex.
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(a)
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The
Registrant’s Annual Report on Form 10–K for the fiscal year ended
December 31, 2009, filed with the Commission on March 31, 2010,
pursuant to Section 13 of the Securities Exchange Act of 1934, as
amended (the “1934 Act”);
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(b)
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The
Registrant’s Quarterly Reports on Form 10-Q for the fiscal quarters ended
March 31, 2010, June 30, 2010, and September 30, 2010, filed with the
Commission on May 17, 2010, August 16, 2010, and November 15, 2010,
respectively, and the Registrant’s Quarterly Report on Form 10Q/A for the
fiscal quarter ended June 30, 2010, filed with the Commission on November
10, 2010;
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(c)
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All
other reports filed pursuant to Section 13(a) or 15(d) of the 1934 Act
since the end of the fiscal year covered by the Registrant’s Annual Report
referred to in (a) above; and
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(d)
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The
Registrant’s Registration Statement No. 033-63721 on Form S-1 filed
with the commission on October 26, 1995, as amended on Form S-1/A on March
29, 1996 and May 8, 1996, in which there is described the terms, rights,
and provisions applicable to the Registrant’s outstanding Common
Stock.
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Exhibit Number
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Exhibit
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4
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Instruments
Defining the Rights of Stockholders. Reference is made to
Registrant’s Registration Statement No. 033-63721 on Form S-1, as
amended on Forms S-1/A, together with the exhibits thereto, which are
incorporated herein by reference pursuant to Item 3(d) to this
Registration Statement.
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5
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Opinion
and Consent of Morgan, Lewis & Bockius, LLP.
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23.1
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Consent
of Moss Adams LLP.
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23.2
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Consent
of Morgan, Lewis & Bockius, LLP is contained in Exhibit
5.
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24
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Power
of Attorney. Reference is made to page II-4 of this
Registration Statement.
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99.1
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American
Shared Hospital Services Incentive Compensation Plan (formerly known as
the 2006 Stock Incentive
Plan)
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AMERICAN
SHARED HOSPITAL SERVICES
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By:
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/s/ Ernest A. Bates,
M.D.
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Ernest
A. Bates, M.D.
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Chairman
of the Board and Chief Executive
Officer
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Signature
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Title
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Date
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/s/ Ernest A. Bates, M.D.
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Chairman
of the Board and Chief Executive
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November
17, 2010
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Ernest
A. Bates, M.D.
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Officer
(Principal Executive Officer)
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/s/ Craig K. Tagawa
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Senior
Vice President, Chief Operating and
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November
17, 2010
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Craig
K. Tagawa
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Financial
Officer (Principal Financial and
Accounting Officer) |
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/s/ Ernest R. Bates
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Director
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November
17, 2010
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Ernest
R. Bates
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Signature
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Title
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Date
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/s/ Olin C. Robinson
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Director
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November
17, 2010
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Olin
C. Robison
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/s/ John F. Ruffle
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Director
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November
17, 2010
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John
F. Ruffle
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/s/ Stanley S. Trotman, Jr.
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Director
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November
17, 2010
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Stanley
S. Trotman, Jr.
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/s/ Raymond Stachowiak
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Director
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November
17, 2010
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Raymond
Stachowiak
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Exhibit Number
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Exhibit
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4
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Instruments
Defining the Rights of Stockholders. Reference is made to
Registrant’s Registration Statement No. 033-63721 on Form
S-1, as amended on Forms S-1/A, together with the exhibits thereto, which
are incorporated herein by reference pursuant to Item 3(d) to this
Registration Statement.
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5
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Opinion
and Consent of Morgan, Lewis & Bockius, LLP.
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23.1
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Consent
of Moss Adams, LLP.
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23.2
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Consent
of Morgan, Lewis & Bockius, LLP is contained in Exhibit
5.
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24
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Power
of Attorney. Reference is made to page II-4 of this
Registration Statement.
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99.1
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American
Shared Hospital Services Incentive Compensation Plan (formerly known as
the 2006 Stock Incentive
Plan)
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