X0304 5 2011-12-31 0 0 0 0000799231 ALMOST FAMILY INC AFAM 0001264112 LYLES P TODD 9510 ORMSBY STATION ROAD SUITE 300 LOUISVILLE KY 40223 0 1 0 0 Sr. Vice President Admin. Common Stock 2011-09-09 5 G 0 1000 0.00 D 75101 D Option (right to buy) 36.69 2021-03-10 Common Stock 3100 3100 D Options 19.40 2017-02-11 Common Stock 9000 9000 D Option (right to buy) 22.18 2018-03-06 Common Stock 5000 5000 D Option (right to buy) 33.27 2019-02-08 Common Stock 3700 3700 D Option (right to buy) 40.13 2019-12-13 Common Stock 2100 2100 D The option becomes exercisable in four equal annual installments beginning on the first anniversary of the date of grant, February 12, 2007 Granted pursuant to the Amended and Restated 2000 Stock Option Plan. The option becomes exercisable in four equal annual installments beginning on the first anniversary of the date of grant, March 7, 2008. Granted pursuant to the 2007 Stock & Incentive Compensation Plan. The option becomes exercisable in four equal annual installments beginning on the first anniversary of the date of grant, February 9, 2009. The option becomes exercisable in four equal annual installments beginning on the first anniversary of the date of grant, December 14, 2009. The option becomes exercisable in four equal installments beginning on the first anniversary of the date of grant, March 11, 2011 /s/ P. Todd Lyles 2012-02-09