X0304 4 2011-12-22 1 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 CEO Common stock, $.01 par value per share 2011-12-22 4 D 0 249554 A 0 D Common stock, $.01 par value per share 2011-12-22 4 D 0 48000 A 0 I By spouse Options to purchase Common Stock 4.00 2011-12-22 4 D 0 25000 4.55 D 2014-01-30 Common Stock 25000 25000 D Options to purchase Common Stock 3.50 2011-12-22 4 D 0 25000 5.05 D 2013-01-30 Common Stock 25000 25000 D Options to purchase Common Stock 3.25 2011-12-22 4 D 0 30000 5.30 D 2012-01-30 Common Stock 30000 30000 D Options to purchase Common Stock 2.30 2011-12-22 4 D 0 3856 6.25 D 2012-08-12 Common Stock 3856 3856 D Options to purchase Common Stock 2.87 2011-12-22 4 D 0 4343 5.68 D 2011-12-31 Common Stock 4343 4343 D Options to purchase Common Stock 2.29 2011-12-22 4 D 0 5000 6.26 D 2013-01-27 Common Stock 5000 5000 D Includes 30,000 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 $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/ Jack Rhian 2011-12-27