SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
THOMAS DAMBRA SLAT TRUST

(Last) (First) (Middle)
21 CORPORATE CIRCLE
PO BOX 15098

(Street)
ALBANY NY 12212

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/28/2012
3. Issuer Name and Ticker or Trading Symbol
ALBANY MOLECULAR RESEARCH INC [ AMRI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 375,000(1) D(2)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
1. Name and Address of Reporting Person*
THOMAS DAMBRA SLAT TRUST

(Last) (First) (Middle)
21 CORPORATE CIRCLE
PO BOX 15098

(Street)
ALBANY NY 12212

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
DAmbra Geoffrey

(Last) (First) (Middle)
21 CORPORATE CIRCLE
PO BOX 15098

(Street)
ALBANY NY 12212

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. These shares (the "Trust Shares") were a gift from Dr. Thomas E. D'Ambra and his spouse, Constance M. D'Ambra, to the Thomas D'Ambra SLAT Trust (the "SLAT Trust), a trust established for the benefit of Mrs. D'Ambra and the descendants of Dr. and Mrs. D'Ambra for estate planning purposes. The trustee of the SLAT trust is Dr. and Mrs. D'Ambra's son, Geoffrey D'Ambra. Geoffrey D'Ambra disclaims Section 16 beneficial ownership of the Trust Shares and this report shall not be deemed an admission that he is the beneficial owner of the Trust Shares, except to the extent of his pecuniary interest, if any, therein. This report shall not be deemed an admission by any of the reporting persons that they are or may be members of a "group" for purposes of Section 13(d) with Dr. or Mrs. D'Ambra.
2. Dr. Thomas E. D'Ambra directly owns 2,743,184 shares of common stock of the issuer, of which 2,696,518 shares are jointly owned with his spouse, Constance M. D'Ambra. Each of the SLAT Trust and Geoffrey D'Ambra disclaim Section 16 beneficial ownership of these shares, and this report shall not be deemed an admission that it or he is the beneficial owner of these shares, except to the extent of its or his pecuniary interest, if any, in these shares.
/s/ Geoffrey D'Ambra, as trustee 01/07/2013
/s/ Geoffrey D'Ambra 01/07/2013
** 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 5 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.