-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, JmcKF72OKTUqMmY6Up8AB6CafWWJp4d8GIHSVJScWELm9a4SXNCzWZYotEi7Bxy+ y1rkVr4+u7J8HWoSZYxtPw== 0000910680-97-000044.txt : 19970221 0000910680-97-000044.hdr.sgml : 19970221 ACCESSION NUMBER: 0000910680-97-000044 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970211 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN MEDICAL ALERT CORP CENTRAL INDEX KEY: 0000700721 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS BUSINESS SERVICES [7380] IRS NUMBER: 112571221 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-38635 FILM NUMBER: 97523538 BUSINESS ADDRESS: STREET 1: 3265 LAWSON BLVD CITY: OCEANSIDE STATE: NY ZIP: 11572 BUSINESS PHONE: 5165365850 MAIL ADDRESS: STREET 1: 3265 LAWSON BLVD CITY: OCEANSIDE STATE: NY ZIP: 11572 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SIEGEL HOWARD M CENTRAL INDEX KEY: 0001005726 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: AMERICAN MEDICAL ALERT CORP STREET 2: 3265 LAWSON BOULEVARD CITY: OCEANSIDE STATE: NY ZIP: 11572 BUSINESS PHONE: 5165365850 SC 13G/A 1 SCHEDULE 13G AMENDMENT NO.5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 5)* American Medical Alert Corp. ------------------------------------------------- (Name of Issuer) Common Stock, $.01 par value per share ------------------------------------------------- (Title of Class of Securities) 027904 10 1 ----------------------------------- (CUSIP Number) *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. The information required in 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). SEC 1745 (12-91) 13G - ---------------------- ----------------- CUSIP No. 027904 10 1 Page 2 of 5 Pages - ---------------------- ----------------- 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Howard M. Siegel ###-##-#### - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [_] (b) [_] - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States of America - -------------------------------------------------------------------------------- 5 SOLE VOTING POWER 1,353,672 -------------------------------------------------- NUMBER OF 6 SHARED VOTING POWER SHARES BENEFICIALLY 10,000 OWNED BY EACH -------------------------------------------------- REPORTING 7 SOLE DISPOSITIVE POWER PERSON WITH 1,353,672 -------------------------------------------------- 8 SHARED DISPOSITIVE POWER 10,000 - -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,363,672 - -------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [_] - -------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 22.6% - -------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! SEC 1745 (12-91) 13G - ---------------------- ----------------- CUSIP No. 027904 10 1 Page 3 of 5 Pages - ---------------------- ----------------- Item 1(a) Name of Issuer: American Medical Alert Corp. Item 1(b) Address of Issuer's Principal Executive Offices: 3265 Lawson Blvd. Oceanside, New York 11572 Item 2(a) Name of Person Filing: Howard M. Siegel Item 2(b) Address of Principal Business Office or, if none, Residence: 3265 Lawson Blvd. Oceanside, New York 11572 Item 2(c) Citizenship: United States of America Item 2(d) Title of Class of Securities: Common Stock, $.01 par value per share Item 2(e) CUSIP Number: 027904 10 1 Item 3 This statement is not filed pursuant to Rule 13d-1(b) or 13d-2(b) Item 4(a) Amount Beneficially Owned As of January 29, 1997: 1,363,672 shares. Includes 19,300 held by Mr. Siegel as custodian for his adult son and 10,000 shares owned by Mr. Siegel's spouse. Mr. Siegel disclaims beneficial ownership of the shares owned by his son and spouse. Also includes 3,750 shares subject to stock options exercisable at $2.9563; 7,601 shares subject to stock options exercisable at $2.8875; 3,125 shares subject to stock options exercisable at $2.4063; 2,928 shares subject to stock options exercisable at $3.4375; 3,178 shares subject to stock options exercisable at $2.8875; 2,572 shares subject to stock options exercisable at $2.5438; 150,000 shares subject to stock options exercisable at $2.75; 2,404 shares subject to stock options exercisable at $2.13125; 2,596 shares subject to stock options exercisable at $3.30; 2,500 shares subject to stock options exercisable at $1.5125; 1,875 shares subject to stock options exercisable at $2.6775; and 2,813 shares subject to stock options exercisable at $2.75. 13G - ---------------------- ----------------- CUSIP No. 027904 10 1 Page 4 of 5 Pages - ---------------------- ----------------- Item 4(b) Percent of Class: 22.6% Item 4(c) Number of share as to which such person has: (i) sole power to vote or to direct the vote: 1,353,672 (ii) shared power to vote or to direct the vote: 10,000 (iii) sole power to dispose or to direct the disposition of: 1,353,672 (iv) shared power to dispose or to direct the disposition of: 10,000 Item 5 Ownership of Five Percent or Less of a Class: Inapplicable. Item 6 Ownership of More than Five Percent on Behalf of Another Person: Inapplicable. Item 7 Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company: Inapplicable. Item 8 Identification and Classification of Members of the Group: Inapplicable. Item 9 Notice of Dissolution of Group: Inapplicable. Item 10 Certification: Inapplicable. 13G - ---------------------- ----------------- CUSIP No. 027904 10 1 Page 5 of 5 Pages - ---------------------- ----------------- SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. February 5, 1997 ------------------------------- (Date) /s/ HOWARD M. SIEGEL ------------------------------- (Signature) HOWARD M. SIEGEL ------------------------------- (Name) -----END PRIVACY-ENHANCED MESSAGE-----