0001179110-11-017162.txt : 20111227 0001179110-11-017162.hdr.sgml : 20111226 20111227175942 ACCESSION NUMBER: 0001179110-11-017162 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111222 FILED AS OF DATE: 20111227 DATE AS OF CHANGE: 20111227 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SIEGEL FREDERIC CENTRAL INDEX KEY: 0001179969 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08635 FILM NUMBER: 111282772 MAIL ADDRESS: STREET 1: 133 LAGOON DR. EAST CITY: LLOO BEACH STATE: NY ZIP: 11561 ISSUER: 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 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 4 1 edgar.xml FORM 4 - X0304 4 2011-12-22 1 0000700721 AMERICAN MEDICAL ALERT CORP AMAC 0001179969 SIEGEL FREDERIC C/O AMERICAN MEDICAL ALERT CORP. 3265 LAWSON BOULEVARD OCEANSIDE NY 11572 1 1 0 0 Executive Vice President Common Stock, par value $.01 per share 2011-12-22 4 D 0 302353 A 0 D Common Stock, par value $0.01 per share 2011-12-22 4 D 0 15400 A 0 I as custodian for son Options to purchase common stock 4.24 2011-12-22 4 D 0 65530 4.31 D 2014-05-27 Common Stock 65530 0 D Options to purchase common stock 1.98 2011-12-22 4 D 0 13917 6.57 D 2013-04-08 Common Stock 13917 0 D Options to purchase common stock 2.29 2011-12-22 4 D 0 6400 6.26 D 2013-01-27 Common Stock 6400 0 D Options to purchase common stock 2.3 2011-12-22 4 D 0 4827 6.25 D 2012-08-12 Common Stock 4827 0 D Options to purchase common stock 2.87 2011-12-22 4 D 0 8252 5.68 D 2011-12-31 Common Stock 8252 0 D Options to purchase common stock 2.87 2011-12-22 4 D 0 25000 5.68 D 2011-12-31 Common Stock 25000 0 D Includes 16,500 shares underlying restricted stock units. Disposed of pursuant to merger agreement between American Medical Alert Corp. and Tunstall Healthcare Group Limited in exchange for per share consideration of $8.55 in cash and one contingent payment right. Currently exercisable. This option was canceled in the merger in exchange for (i) an amount in cash equal to the product of (x) the total number of shares of common stock subject to such option and (y) the excess of the $8.55 over the exercise price per share subject to such option, and (ii) one contingent payment right for each share of common stock subject to such option. /s/ Frederic Siegel 2011-12-27