-----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, H51IXShSMxRRzFfUa1/hXfIqV1pO/blgceXlKXe/B0CnF76QpgHQpc0zHbjuPS03 gDgaKQMLAq1m6dBv3bAhOA== 0000814181-05-000041.txt : 20050611 0000814181-05-000041.hdr.sgml : 20050611 20050603125400 ACCESSION NUMBER: 0000814181-05-000041 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050602 FILED AS OF DATE: 20050603 DATE AS OF CHANGE: 20050603 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: 05876594 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_fg060305ex.xml X0202 4 2005-06-02 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 2005-06-02 4 A 0 20000 A 2006-06-02 2015-06-02 Common Stock 20000 60000 D Grant of incentive stock options as Director /s/ Linda G. Carraghan, by Power of Attorney for Francis R. Grebe 2005-06-03 -----END PRIVACY-ENHANCED MESSAGE-----