SEC FORM 4

SEC Form 4

FORM 4

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

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

1. Name and Address of Reporting Person^*

Ralston Nancy

(Last)

(First)

(Middle)

9510 ORMSBY STATION ROAD

SUITE 300

(Street)

LOUISVILLE

40223

(City)

(State)

(Zip)

2. Issuer Name and Ticker or Trading Symbol
ALMOST FAMILY INC [ AFAM ]

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

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
	Sr. VP Ops, Florida

3. Date of Earliest Transaction (Month/Day/Year)
11/19/2012

4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	Code	V	Amount	(A) or (D)	Price		6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
Common Stock	11/19/2012		S		8,400⁽⁶⁾	D	$18	3,800	D
Common Stock	11/19/2012		S		100	D	$18.36	3,700	D

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	8. Price of Derivative Security (Instr. 5)		10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
Option (right to buy)⁽²⁾	$24.16							⁽⁷⁾	02/26/2022	Common Stock	3,500		3,500	D
Option (right to buy)⁽²⁾	$24.94							⁽³⁾	06/16/2018	Common Stock	2,500		2,500	D
Option (right to buy)⁽²⁾	$33.27							⁽⁴⁾	02/08/2019	Common Stock	1,600		1,600	D
Option (right to buy)⁽²⁾	$40.13							⁽⁵⁾	12/13/2019	Common Stock	1,100		1,100	D
Option (right to buy)⁽²⁾	$36.69							⁽¹⁾	03/10/2021	Common Stock	1,600		1,600	D

Explanation of Responses:

1. The option becomes exercisable in four equal annual installments beginning on the first anniversary of the date of grant, March 11, 2011.

2. Granted pursuant to the 2007 Stock & Incentive Compensation Plan.

3. The option becomes exercisable in four equal annual installments beginning on the first anniversary of the date of grant, June 17, 2008.

4. The option becomes exercisable in four equal annual installments beginning on the first anniversary of the date of grant, February 9, 2009.

5. The option becomes exercisable in four equal annual installments beginning on the first anniversary of the date of grant, December 14, 2009.

6. The reporting person previously reported 6,876 shares of the 8,400 shares sold as indirectly owned by RSSY Home Healthcare Services, LLC, the transfer of which 6,876 shares was not previously reported in accordance with Rule 16a-13.

7. The option becomes exercisable in four equal annual installments beginning on the first anniversary of the date of grant, February 27, 2012.

	/s/ Steve Guenthner as Attorney -in- Fact for Nancy Ralston	11/21/2012
	** 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 4 (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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