UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
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SCHEDULE 13D
Under the Securities Exchange Act of 1934
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American Shared Hospital Services
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(Name of Issuer)
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Common Shares, Without Par Value
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(Title of Class of Securities)
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029595-10-5
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(CUSIP Number)
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John F. Ruffle
American Shared Hospital Services
Four Embarcadero Center, Suite 3700
San Francisco, California 94111-4107
Tel. No.: (415) 788-5300
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(Name, Address and Telephone Number of Person Authorized to
Receive Notices and Communications)
With a Copy to:
Daniel G. Kelly, Jr.
Davis Polk & Wardwell LLP
1600 El Camino Real
Menlo Park, California 94025
(650) 752-2000
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June 20, 2011
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(Date of Event which Requires Filing of this Statement)
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If the filing person has previously filed a statement on Schedule 13G to report the acquisition that is the subject of this Schedule 13D, and is filing this schedule because of §§240.13d-1(e), 240.13d-l(f) or 240.13d-l(g), check the following box. o
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*The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.
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The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
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1.
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Names of Reporting Persons.
I.R.S. Identification Nos. of above persons.
John F. Ruffle
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2.
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Check the Appropriate Box if a Member of a Group
(a) o
(b) o
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3.
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SEC Use Only
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4.
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Source of Funds
PF
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5.
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Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)
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o |
6.
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Citizenship or Place of Organization
United States
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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7.
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Sole Voting Power
265,411
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8.
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Shared Voting Power
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9.
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Sole Dispositive Power
265,411
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10.
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Shared Dispositive Power
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11.
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Aggregate Amount Beneficially Owned by Each Reporting Person
265,411
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12.
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Check if the Aggregate Amount in Row (11) Excludes Certain Shares
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o |
13.
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Percent of Class Represented by Amount in Row (11)
5.8%
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14.
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Type of Reporting Person (See Instructions)
IN
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/s/ John F. Ruffle | ||
Signature | ||
John F. Ruffle | ||
(Name/Title)
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Date of Transaction
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Number of Shares
Purchased
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Nature of Purchase
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Price Per Share
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Aggregate
Purchase Price
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June 20, 2011
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25,000
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Private Purchase
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$3.00
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$75,000
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June 20, 2011
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5,000
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Private Purchase
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$3.00
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$15,000
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Total
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30,000
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$90,000
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