-----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, UFoMsVM5co6t698h8hOVgxNhPPkb6jcaPqkg+lvbtQCuXpbdEQfX1hBGJDcUSC0o wK9Qblq3EZ1KZPLkWzlEcQ== 0000814181-05-000077.txt : 20050628 0000814181-05-000077.hdr.sgml : 20050628 20050628133144 ACCESSION NUMBER: 0000814181-05-000077 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050627 FILED AS OF DATE: 20050628 DATE AS OF CHANGE: 20050628 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: 05919757 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_fg062805ex.xml X0202 4 2005-06-27 0 0000814181 PENN TREATY AMERICAN CORP PTA 0001252449 GREBE FRANK 3440 LEHIGH ST ALLENTOWN PA 18103 1 0 0 0 Common Stock 2005-06-27 4 P 0 1700 2.3559 A 7200 D /s/ Jane M. Bagley, by Power of Attorney for Francis R. Grebe 2005-06-28 -----END PRIVACY-ENHANCED MESSAGE-----