-----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, PM3xdfWGht42WcLDfWd5YFPBgl6ht6Jn8yYl4I0FZ/Cm46UJyo79PbndWmOREpUH g/g+IR309hLqNRfejO71Mw== 0000814181-04-000048.txt : 20040601 0000814181-04-000048.hdr.sgml : 20040601 20040601164022 ACCESSION NUMBER: 0000814181-04-000048 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040528 FILED AS OF DATE: 20040601 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PENN TREATY AMERICAN CORP CENTRAL INDEX KEY: 0000814181 STANDARD INDUSTRIAL CLASSIFICATION: ACCIDENT & HEALTH INSURANCE [6321] IRS NUMBER: 231664166 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3440 LEHIGH ST CITY: ALLENTOWN STATE: PA ZIP: 18103 BUSINESS PHONE: 6109652222 MAIL ADDRESS: STREET 1: 3440 LEHIGH ST CITY: ALLENTOWN STATE: PA ZIP: 18103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KAPLAN MATTHEW W CENTRAL INDEX KEY: 0001252478 STANDARD INDUSTRIAL CLASSIFICATION: ACCIDENT & HEALTH INSURANCE [6321] STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14681 FILM NUMBER: 04841793 BUSINESS ADDRESS: STREET 1: 3440 LEHIGH ST CITY: ALLENTOWN STATE: PA ZIP: 18103 BUSINESS PHONE: 310 574 2671 MAIL ADDRESS: STREET 1: 7 FLEET STREET STREET 2: UNIT 206 CITY: MARINA DEL REY STATE: CA ZIP: 90292 4 1 form4_mkex.xml X0202 4 2004-05-28 0 0000814181 PENN TREATY AMERICAN CORP PTA 0001252478 KAPLAN MATTHEW W 3440 LEHIGH ST ALLENTOWN PA 18103 1 0 0 0 Incentive Stock Option (right to buy) 2.13 2004-05-28 4 A 0 20000 A 2005-05-28 2014-05-28 Common Stock 20000 40000 D Grant of incentive stock options as Director /s/ Linda G. Carraghan, by Power of Attorney for Matthew W. Kaplan 2004-06-01 -----END PRIVACY-ENHANCED MESSAGE-----