Assure (IONM) Form 3 Assure / John Farlinger ownership change

SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person^*

Farlinger John

(Last) (First) (Middle)

4600 S. ULSTER ST.

SUITE 1225

(Street)

DENVER CO 80237

(City) (State) (Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
09/29/2021

3. Issuer Name and Ticker or Trading Symbol
Assure Holdings Corp. [ IONM ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	10% Owner
X	Officer (give title below)	Other (specify below)
CEO

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common stock	134,032(1)	D

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Stock option	10/01/2021(2)	10/01/2023	Stock option	60,400	9	D
Stock option	01/16/2022(3)	01/16/2024	Stock option	23,400	7.8	D
Stock option	02/01/2024(4)	02/01/2026	Stock option	90,000	5.3	D
Warrant	12/02/2020	12/02/2025	December 2020 Pipe Warrant	32,000	3.9	D

Explanation of Responses:

1. Includes 60,000 performance shares which vest December 31, 2021

2. 20% of option issuance will vest immediately upon Grant Date and one sixth of the balance will vest every 6 months thereafter

3. 20% of option issuance will vest immediately upon Grant Date and one sixth of the balance will vest every 6 months thereafter

4. 20% of option issuance will vest immediately upon Grant Date and one sixth of the balance will vest every 6 months thereafter

	/s/ John A Farlinger	10/12/2021
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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