-----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, LpI+ytO2J21+at0Lzfxdt8/uVF8GgIQZTaBwmFQv1SLT2TXyK/LuX5Q3Mt/eOcYm 10/jpippIakGKfAg5Zm27Q== 0000814181-05-000097.txt : 20050913 0000814181-05-000097.hdr.sgml : 20050913 20050913125518 ACCESSION NUMBER: 0000814181-05-000097 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050912 FILED AS OF DATE: 20050913 DATE AS OF CHANGE: 20050913 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] FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14681 FILM NUMBER: 051081677 BUSINESS ADDRESS: STREET 1: 3440 LEHIGH ST CITY: ALLENTOWN STATE: PA ZIP: 18103 BUSINESS PHONE: 610 965 2222 MAIL ADDRESS: STREET 1: 3440 LEHIGH STREET CITY: ALLENTOWN STATE: PA ZIP: 18103 4 1 form4_fg091405ex.xml X0202 4 2005-09-12 0 0000814181 PENN TREATY AMERICAN CORP PTA 0001252449 GREBE FRANK 3440 LEHIGH ST ALLENTOWN PA 18103 1 0 0 0 Common Stock 2005-09-12 4 P 0 500 8.64 A 2300 D This amount reflects a 1-for-4 reverse stock split of shares reported by Mr. Grebe as of the effective date of the reverse stock split (i.e. July 11, 2005) /s/ Linda G. Carraghan, by Power of Attorney for Francis R. Grebe 2005-09-13 -----END PRIVACY-ENHANCED MESSAGE-----