Notice to Voluntarily Withdraw a Class of Securities from Listing and Registration on a National Exchange — Form 25 Filing Table of Contents
Document/ExhibitDescriptionPagesSize 1: 25 Notice to Voluntarily Withdraw a Class of HTML 10K Securities from Listing and Registration on a National Exchange
(Address, including zip code, and telephone number, including area code, of Issuer’s principal
executive offices)
Common Stock, no par value per share
(Description of class of securities)
Please place an X in the box to designate the rule provision relied upon to strike the class
of securities from
listing and registration:
o 17 CFR 240.12d2-2(a)(1)
o 17 CFR 240.12d2-2(a)(2)
o 17 CFR 240.12d2-2(a)(3)
o 17 CFR 240.12d2-2(a)(4)
o Pursuant to 17 CFR 240.12d2-2(b), the Exchange has complied with its rules to
strike the class of securities from listing and/or withdraw
registration on the Exchange.1
x Pursuant to 17 CFR 240.12d2-2(c), the Issuer has complied with the rules of the
Exchange and the requirements of 17 CFR 240.12d2-2(c) governing the voluntary withdrawal of the
class of securities from listing and registration on the Exchange.
Pursuant to the requirements of the Securities Exchange Act of 1934, American Shared Hospital
Services certifies that it has reasonable grounds to believe that it meets all of the requirements
for filing the Form 25 and has caused this notification to be signed on its behalf by the
undersigned duly authorized person.