-----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, BJqpIO/l8PkiH0f0f6b36j1Vg6NHijLOVNSB0SN3uKLG+LJmK5nN9g09chl1PWaB iyb7N3oaetnTmCZuZtQf2g== 0000814181-05-000027.txt : 20050426 0000814181-05-000027.hdr.sgml : 20050426 20050426085626 ACCESSION NUMBER: 0000814181-05-000027 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050418 FILED AS OF DATE: 20050426 DATE AS OF CHANGE: 20050426 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: PATTERSON PATRICK CENTRAL INDEX KEY: 0001252459 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: 05771594 BUSINESS ADDRESS: STREET 1: 3440 LEHIGH ST CITY: ALLENTOWN STATE: PA ZIP: 18103 BUSINESS PHONE: 248 889 0979 MAIL ADDRESS: STREET 1: 1100 TROON CITY: HIGHLAND STATE: MI ZIP: 48357 4 1 form4_ppex.xml X0202 4 2005-04-18 0 0000814181 PENN TREATY AMERICAN CORP PTA 0001252459 PATTERSON PATRICK 3440 LEHIGH ST ALLENTOWN PA 18103 0 1 0 0 EVP & Chief Marketing Officer Incentive Stock Options (right to buy) 2.15 2005-04-18 4 A 0 40000 A 2006-04-18 2015-04-18 Common Stock 40000 120000 D All transaction details based on information reported to Power of Attorney on April 25, 2005 Grant of incentive stock options as officer /s/ Linda G. Carraghan, by power of attorney for Patrick Patterson 2005-04-26 -----END PRIVACY-ENHANCED MESSAGE-----