-----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, DFgXDJsVhVyF2Osw+omWJaaqwpuHl3TZteqTm+AkfFZgkOPpRqW8XszedNc4bF7E nNpqSpc+umCo2LefgkeS+g== 0000814181-04-000071.txt : 20040813 0000814181-04-000071.hdr.sgml : 20040813 20040813092823 ACCESSION NUMBER: 0000814181-04-000071 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040812 FILED AS OF DATE: 20040813 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROSS PETER M CENTRAL INDEX KEY: 0001274426 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14681 FILM NUMBER: 04971976 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_pr81204ex.xml X0202 4 2004-08-12 0 0000814181 PENN TREATY AMERICAN CORP PTA 0001274426 ROSS PETER M 3440 LEHIGH STREET ALLENTOWN PA 18103 1 0 0 0 Common Stock 2004-08-12 4 P 0 100 1.52 A 9100 I See Footnote Common Stock 2004-08-12 4 P 0 900 1.54 A 10000 I See footnote Shares held in Trust, for which reporting person is settlor and trustee /s/Linda G. Carraghan, by Power of Attorney for Peter M. Ross 2004-08-13 -----END PRIVACY-ENHANCED MESSAGE-----