-----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, HenaeshPeSN53srMu68JZhkJb5LENSIbHuPR66bLd0Iw88HGANVT3sXu4F69PLqB qvCSrLrJ+Oxq0vYdHvciJw== 0000814181-07-000002.txt : 20070108 0000814181-07-000002.hdr.sgml : 20070108 20070108101315 ACCESSION NUMBER: 0000814181-07-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061228 FILED AS OF DATE: 20070108 DATE AS OF CHANGE: 20070108 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: CLOUTIER MARK D CENTRAL INDEX KEY: 0001252448 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: 07516218 BUSINESS ADDRESS: STREET 1: 3440 LEHIGH ST CITY: ALLENTOWN STATE: PA ZIP: 18103 BUSINESS PHONE: 215 219 5128 MAIL ADDRESS: STREET 1: 7150 LAWNDALE STREET CITY: PHILADELPHIA STATE: PA ZIP: 19111 4 1 form4_mcex.xml X0202 4 2006-12-28 0 0000814181 PENN TREATY AMERICAN CORP PTA 0001252448 CLOUTIER MARK D 3440 LEHIGH STREET ALLENTOWN PA 18103 0 1 0 0 Senior V P, CFO & Treasurer Common Stock 2006-12-28 4 I 0 1065 7.61 A 1065 I 401(k) Plan Based on information provided by Plan Trustee on 1/5/07 Also own 1,000 shares directly /s/ Linda G. Carraghan, by power of attorney for Mark Cloutier 2007-01-07 -----END PRIVACY-ENHANCED MESSAGE-----