SEC Form 4 · accession 0001179110-17-004565
ALMOST FAMILY INC · AFAM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John Shermyen
Officer — SVP Healthcare Innovations
Period of report
Mar 10, 2017
Accepted (ET)
Mar 14, 2017 · 5:26 pm EDT
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 StockF2 | Mar 10, 2017 | A | 1,200 | $0.00 | A | 94,864 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option (right to buy)F4 | $49.05 | Mar 10, 2017 | A | 800 | A | — | Mar 9, 2027 | Common Stock | 800 | 800 | D |
| Option (right to buy)F1,F3 | $36.03 | holding | — | — | — | — | Mar 3, 2026 | Common Stock | 1,100 | 1,100 | D |
Explanation of responses
- F1Granted pursuant to the 2013 Stock & Incentive Compensation Plan.
- F2Consists of 1,200 shares of Restricted Stock granted pursuant to the 2013 Stock and Incentive Compensation Plan, up to 800 of which shares of Restricted Stock will be forfeited if the issuer fails to achieve an established performance measure.
- F3The option becomes exercisable in four equal annual installments beginning on the first anniversary of the date of grant, March 4, 2016.
- F4The option becomes exercisable in four equal annual installments beginning on the first anniversary of the date of grant, March 10, 2017.