SEC Form 4 · accession 0001179110-17-007255
ALMOST FAMILY INC · AFAM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jonathan Goldberg
Director
Period of report
May 12, 2017
Accepted (ET)
May 16, 2017 · 10:21 am 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 StockF3 | May 12, 2017 | A | 1,600 | $0.00 | A | 54,803 | D | |
| Common Stock | holding | — | — | — | 5,500 | I | By self -directed 401(k) Plan | |
| Common StockF1 | holding | — | — | — | 2,000 | I | By spouse's self- directed 401(k) Plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Non-Employee Director Stock Option (Right to Buy)F2 | $33.27 | holding | — | — | — | May 15, 2010 | Feb 8, 2019 | Common Stock | 3,000 | 3,000 | D |
Explanation of responses
- F1The reporting person disclaims beneficial ownership of these securities, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of the reported shares for purposes of Section 16 or for any other purpose.
- F2Granted pursuant to the 2007 Stock and Incentive Compensation Plan.
- F3Restricted Stock granted pursuant to the 2017 Stock & Incentive Compensation Plan.