-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, DhN4XRdvZJDLr/ZTi+LRiUMj0ZStN74jXYq0kUzoLd9qIeKlOBVoOXhpX6ykt6oV COhwTFyVZUrDTHyjhpkivg== 0000910680-04-000995.txt : 20040915 0000910680-04-000995.hdr.sgml : 20040915 20040915124819 ACCESSION NUMBER: 0000910680-04-000995 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040914 FILED AS OF DATE: 20040915 DATE AS OF CHANGE: 20040915 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SIEGEL FREDERIC CENTRAL INDEX KEY: 0001179969 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08635 FILM NUMBER: 041031137 MAIL ADDRESS: STREET 1: 133 LAGOON DR. EAST CITY: LLOO BEACH STATE: NY ZIP: 11561 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN MEDICAL ALERT CORP CENTRAL INDEX KEY: 0000700721 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS BUSINESS SERVICES [7380] IRS NUMBER: 112571221 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3265 LAWSON BLVD CITY: OCEANSIDE STATE: NY ZIP: 11572 BUSINESS PHONE: 5165365850 MAIL ADDRESS: STREET 1: 3265 LAWSON BLVD CITY: OCEANSIDE STATE: NY ZIP: 11572 4 1 f4_fsiegel091404ex.xml X0202 4 2004-09-14 0 0000700721 AMERICAN MEDICAL ALERT CORP AMAC 0001179969 SIEGEL FREDERIC C/O AMERICAN MEDICAL ALERT CORP. 3265 LAWSON BOULEVARD OCEANSIDE NY 11572 1 1 0 0 Vice President-Bus. Develop Common Stock, par value $.01 per share 2004-09-14 4 M 0 7346 2.3750 A 109946 D Options to Purchase Common Stock 2.375 2004-09-14 4 M 0 7346 0 D 2004-09-16 Common Stock 7346 0 D Options to Purchase Common Stock 4.24 2014-05-27 Common Stock 65630 65530 D Options to Purchase Common Stock 1.98 2013-04-08 Common Stock 13917 13917 D Options to Purchase Common Stock 2.29 2013-01-27 Common Stock 6400 6400 D Options to Purchase Common Stock 2.30 2012-08-12 Common Stock 4827 4827 D Options to Purchase Common Stock 2.87 2011-12-31 Common Stock 8252 8252 D Options to Purchase Common Stock 2.87 2006-12-31 Common Stock 38155 38155 D Options to Purchase Common Stock 1.90 2006-10-30 Common Stock 10000 10000 D Options to Purchase Common Stock 2.75 2006-07-25 Common Stock 3610 3610 D Options to Purchase Common Stock 1.1875 2006-04-02 Common Stock 56391 56391 D Options to Purchase Common Stock 2.25 2005-07-03 Common Stock 21534 21534 D Options to Purchase Common Stock 2.00 2005-01-04 Common Stock 18125 18125 D Exercisable immediately. Options to purchase 30,530 shares were granted pursuant to a formula in the reporting person's employment contract in effect at the end of, and in connection with, the year ended December 31, 2003. Options to purchase 35,000 shares were granted in connection with a new 2 year employment agreement, to be in effect through December 31, 2005, which was approved by the board on May 27, 2004. /s/ Frederic S. Siegel 2004-09-14 -----END PRIVACY-ENHANCED MESSAGE-----