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