-----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, R8iB0ZV6jrU/ySIZYY/MOt3X+QodqsVVELc9FIe+ohpldESKuV1nyjx620OCYIkc BZS5gLqgHdRRNLvezpKHRw== 0000814181-06-000014.txt : 20061226 0000814181-06-000014.hdr.sgml : 20061225 20061226151538 ACCESSION NUMBER: 0000814181-06-000014 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061222 FILED AS OF DATE: 20061226 DATE AS OF CHANGE: 20061226 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FALCONIO PATRICK E CENTRAL INDEX KEY: 0001261599 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14681 FILM NUMBER: 061298877 BUSINESS ADDRESS: STREET 1: 2101 OAKWOOD AVE CITY: BLOOMINGTON STATE: IL ZIP: 61704 MAIL ADDRESS: STREET 1: 2 SYMONS LANE CITY: SAVANNAH STATE: GA ZIP: 31411 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_pfex.xml X0202 4 2006-12-22 0 0000814181 PENN TREATY AMERICAN CORP PTA 0001261599 FALCONIO PATRICK E 3440 LEHIGH STREET ALLENTOWN PA 18103 1 0 0 0 Common Stock 2006-12-22 4 P 0 5000 6.62 A 8750 D Common Stock 2006-12-22 4 P 0 5000 6.65 A 13750 D Reflects effect of the 1-for-4 reverse stock split on shares reported by Mr. Falconio as of the effective date of the reverse stock split (ie. July 11, 2005). /s/ Linda G. Carraghan, by power of attorney for Patrick E. Falconio 2006-12-26 -----END PRIVACY-ENHANCED MESSAGE-----