-----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, OzQM4De8CrPzIdJqFGWogyXxvQPAdVkTlenl1TESJnpx28oM4AMKoF8IB7+dB33E Cxg1IBbLVXCvORz09fF+pg== 0000814181-06-000024.txt : 20061227 0000814181-06-000024.hdr.sgml : 20061227 20061227103037 ACCESSION NUMBER: 0000814181-06-000024 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061226 FILED AS OF DATE: 20061227 DATE AS OF CHANGE: 20061227 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: CLARK ALEXANDER CENTRAL INDEX KEY: 0001252447 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: 061299795 BUSINESS ADDRESS: STREET 1: 3440 LEHIGH ST CITY: ALLENTOWN STATE: PA ZIP: 18103 BUSINESS PHONE: 212 484 2900 MAIL ADDRESS: STREET 1: 106 EAST 84TH STREET 8E CITY: NEW YORK STATE: NY ZIP: 10028 4 1 form4_ac122606ex.xml X0202 4 2006-12-26 0 0000814181 PENN TREATY AMERICAN CORP PTA 0001252447 CLARK ALEXANDER 3440 LEHIGH STREET ALLENTOWN PA 18103 1 0 0 0 Common Stock 2006-12-26 4 P 0 2800 6.78 A 10999 D Reflects effect of the 1-for-4 reverse stock split on shares reported by Mr. Clark as of the effective date of the reverse stock split (ie. July 11, 2005). /s/ Linda G. Carraghan, by power of attorney for Alexander Clark 2006-12-27 -----END PRIVACY-ENHANCED MESSAGE-----