-----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, DHyRtjt2n7FQNUONQTtM++JZZbZyXgN1ozFckk85U7nuhBHCdvt1kd1Uur+Naxf8 i/rBLuaAVc7fIjLWtUx5Ww== 0000814181-04-000050.txt : 20040601 0000814181-04-000050.hdr.sgml : 20040601 20040601164403 ACCESSION NUMBER: 0000814181-04-000050 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: GREBE FRANK CENTRAL INDEX KEY: 0001252449 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: 04841823 BUSINESS ADDRESS: STREET 1: 3440 LEHIGH ST CITY: ALLENTOWN STATE: PA ZIP: 18103 BUSINESS PHONE: 610 687 6540 MAIL ADDRESS: STREET 1: #10 DEZAC ARBORDEAU STREET 2: BERWYN BAPTIST RD CITY: DEVON STATE: PA ZIP: 19333 4 1 form4_fgex.xml X0202 4 2004-05-28 0 0000814181 PENN TREATY AMERICAN CORP PTA 0001252449 GREBE FRANK 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 Francis R. Grebe 2004-06-01 -----END PRIVACY-ENHANCED MESSAGE-----