-----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, EBZ9qZqIevh3qmp6HPsKjOaI9oL5HeuJu87Vw2413AwK8fOANOkiNUtW67+lLZ4X AaHznoYazGTKVWWcIKlOvg== 0000814181-04-000049.txt : 20040601 0000814181-04-000049.hdr.sgml : 20040601 20040601164158 ACCESSION NUMBER: 0000814181-04-000049 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: HINDES GARY E CENTRAL INDEX KEY: 0001252453 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: 04841806 BUSINESS ADDRESS: STREET 1: 3440 LEHIGH ST CITY: ALLENTOWN STATE: PA ZIP: 18103 BUSINESS PHONE: 212 546 6296 MAIL ADDRESS: STREET 1: 645 FIFTH AVE STREET 2: 18TH FL CITY: NEW YORK STATE: NY ZIP: 18078 4 1 form4_ghex.xml X0202 4 2004-05-28 0 0000814181 PENN TREATY AMERICAN CORP PTA 0001252453 HINDES GARY E 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 Gary E. Hindes 2004-06-01 -----END PRIVACY-ENHANCED MESSAGE-----