SEC Form 5 · accession 0001179110-16-033031
ALMOST FAMILY INC · AFAM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William B Yarmuth
Officer — CEO · Director
Period of report
Jan 1, 2016
Accepted (ET)
Dec 15, 2016 · 5:25 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000799231
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Mar 31, 2015 | G | 3,848 | $0.00 | D | 369,300 | D | |
| Common StockF3 | holding | — | — | — | 51,205 | I | By Spouse | |
| Common StockF4,F1 | holding | — | — | — | 55,274 | I | By family limited partnership | |
| Common StockF2 | holding | — | — | — | 5,924 | I | By trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Held by WBY Investments Limited Partnership, LLLP, a family limited partnership of which the reporting person is the sole general partner. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
- F25,924 shares consist of 2 individual trusts FBO J.J. Yarmuth and Jacob J. Yarmuth.
- F3The reporting person disclaims beneficial ownership of these securities, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership for purposes of Section 16 or for any other purpose.
- F4The reporting person may also be deemed to be the indirect beneficial owner of 3,848 shares of common stock held in the William B. Yarmuth Family Foundation, Inc., a charitable 501(c)(3) entity. As a tax-exempt organization, no part of the foundation's income can inure to the benefit of a private individual; therefore, the reporting person does not have a pecuniary interest in the foundation's shares and he disclaims any such pecuniary interest for purposes of the reporting requirements under Section 16 of the Securities Exchange Act of 1934.