EDGAR Filing Documents for 0000814181-04-000004

Form 5 - Annual statement of changes in beneficial ownership of securities:

SEC Accession No. 0000814181-04-000004

Filing Date

2004-02-13

Accepted

2004-02-13 09:56:57

Documents

Period of Report

2003-12-31

Document Format Files

Seq	Description	Document	Type	Size
1		form5_mk03ex.html	5
1		form5_mk03ex.xml	5	3887
3		ex24_mk.htm	EX-24	5451
	Complete submission text file	0000814181-04-000004.txt		11345

Mailing Address 3440 LEHIGH ST ALLENTOWN PA 18103

Business Address 3440 LEHIGH ST ALLENTOWN PA 18103 6109652222

PENN TREATY AMERICAN CORP (Issuer) CIK: 0000814181 (see all company filings)

IRS No.: 231664166 | State of Incorp.: PA | Fiscal Year End: 1231
SIC: 6321 Accident & Health Insurance

Mailing Address 7 FLEET STREET UNIT 206 MARINA DEL REY CA 90292

Business Address 3440 LEHIGH ST ALLENTOWN PA 18103 310 574 2671

KAPLAN MATTHEW W (Reporting) CIK: 0001252478 (see all company filings)

State of Incorp.: PA | Fiscal Year End: 1231
Type: 5 | Act: 34 | File No.: 001-14681 | Film No.: 04595120
SIC: 6321 Accident & Health Insurance