-----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, Jr1ylJv8Y81gLq1P/mTB/9sXvynCF/RJWuleldLavOpxuRkf0oa/sVPkpKAss3OA L6OXsz87s2efWuIfXgPKuQ== 0000814181-05-000069.txt : 20050611 0000814181-05-000069.hdr.sgml : 20050611 20050609155336 ACCESSION NUMBER: 0000814181-05-000069 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050609 FILED AS OF DATE: 20050609 DATE AS OF CHANGE: 20050609 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: 05887581 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_pr060905ex.xml X0202 4 2005-06-09 0 0000814181 PENN TREATY AMERICAN CORP PTA 0001274426 ROSS PETER M 3440 LEHIGH STREET ALLENTOWN PA 18103 1 0 0 0 Common Stock 2005-06-09 4 P 0 2200 2.47 A 15200 I See footnote Shares held in trust, for which Mr. Ross is settlor and trustee /s/ Linda G. Carraghan by power of attorney for Peter M. Ross 2005-06-09 -----END PRIVACY-ENHANCED MESSAGE-----