-----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, Bv3liQKrYL/R6gzg7aMehcJGTqcZT7V5QD8hauic3iOVL62Mde0WdJv85pPCRVLS tIASScvKRgUmqp962rZ/NA== 0000814181-04-000062.txt : 20040701 0000814181-04-000062.hdr.sgml : 20040701 20040701111822 ACCESSION NUMBER: 0000814181-04-000062 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040621 FILED AS OF DATE: 20040701 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LEVIT IRVING CENTRAL INDEX KEY: 0000905017 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14681 FILM NUMBER: 04893523 BUSINESS ADDRESS: STREET 1: 3440 LEHIGH ST CITY: ALLENTOWN STATE: PA ZIP: 18103 BUSINESS PHONE: 610 965 2020 MAIL ADDRESS: STREET 1: 2565 GRACIE LONE CITY: MACUNGIE STATE: PA ZIP: 18062 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 4 1 form4_il070104ex.xml X0202 4 2004-06-21 0 0000814181 PENN TREATY AMERICAN CORP PTA 0000905017 LEVIT IRVING 3440 LEHIGH ST ALLENTOWN PA 18103 1 0 0 0 Common Stock 2004-06-21 4 S 0 3000 1.98 D 43000 I See footnote All transaction details based on information received from Mr. Levit's investment firm on 6/30/04. Also owns 1,953,646 shares directly. Also holds shares indirectly, as follows: 147,167 (held as co-trustee of irrevocable trust); 45,007 (held as trustee); 46,000 (held by wife, as to which beneficial ownership is disclaimed.) Held by private foundation of which Mr. Levit serves as an Officer and Director. /s/Linda G. Carraghan, by Power of Attorney for Irving Levit 2004-07-01 -----END PRIVACY-ENHANCED MESSAGE-----