X0202 4 2006-09-26 0 0000700721 AMERICAN MEDICAL ALERT CORP AMAC 0001216999 RHIAN JACK C/O AMERICAN MEDICAL ALERT CORP. 3265 LAWSON BOULEVARD OCEANSIDE NY 11572 1 1 0 0 President and COO Common stock, $.01 par value per share 50000 D Common stock, $.01 par value per share 48000 I By spouse Common stock, $.01 par value per share 2006-09-26 4 M 0 12000 2.00 A 68654 D Options to Purchase Common Stock 2.00 2006-09-26 4 M 0 12000 0 D 2007-01-30 Common Stock 12000 0 D Options to purchase Common Stock 2.00 2008-01-30 Common Stock 50000 50000 D Options to purchase Common Stock 4.00 2014-01-30 Common Stock 25000 25000 D Options to purchase Common Stock 3.50 2013-01-30 Common Stock 25000 25000 D Options to purchase Common Stock 3.25 2012-01-30 Common Stock 30000 30000 D Options to purchase Common Stock 2.30 2012-08-12 Common Stock 3856 3856 D Options to purchase Common Stock 2.87 2011-12-31 Common Stock 4343 4343 D Options to purchase Common Stock 2.29 2013-01-27 Common Stock 5000 5000 D These shares are subject to a repurchase right in favor of the issuer. The repurchase right entitles the issuer to repurchase the shares at a price of $.01 per share. The repurchase right lapses with respect to 10,000 shares on each of December 31, 2006, 2007, 2008, 2009 and 2010, as long as the reporting person is employed by the issuer at such time. Exercisable immediately. /s/ Jack Rhian 2006-09-28