-----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, HMHLvNuABaseWYhO1XCTydlqkkIow7tq0FFFXhHYkwpaybWvwGFvQBR2W6hTRQxr wb7jraEsMSxUNcxEBZnT8A== 0001179110-10-002947.txt : 20100216 0001179110-10-002947.hdr.sgml : 20100215 20100216184551 ACCESSION NUMBER: 0001179110-10-002947 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091231 FILED AS OF DATE: 20100216 DATE AS OF CHANGE: 20100216 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SIEGEL HOWARD M CENTRAL INDEX KEY: 0001005726 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-08635 FILM NUMBER: 10610575 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 5 1 edgar.xml FORM 5 - X0303 5 2009-12-31 0 0 0 0000700721 AMERICAN MEDICAL ALERT CORP AMAC 0001005726 SIEGEL HOWARD M C/O AMERICAN MEDICAL ALERT CORP. 3265 LAWSON BOULEVARD OCEANSIDE NY 11572 1 0 1 0 Common Stock, $0.01 par value per share 2009-02-18 5 G 0 36000 0 D 914157 D Common Stock, $0.01 par value per share 2009-12-28 5 G 0 24000 0 D 914157 D Common Stock, $0.01 par value per share 2009-12-28 5 G 0 2000 0 A 20000 I By wife Common Stock, $0.01 par value per share 19300 I As custodian for son This transaction included a gift of 2,000 shares of common stock by the reporting person to his wife. The reporting person disclaims beneficial ownership of the shares held by his wife, and this report should not be deemed an admission that the reporting person is the beneficial owner of his wife's shares for purposes of Section 16 or any other purpose. /s/ Howard M. Siegel 2010-02-16 -----END PRIVACY-ENHANCED MESSAGE-----