-----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, VbIyFtn+qI9MUdyE6b9nBFGFUBdLZUnOM0WP7PHeXRkGi9rP0dTgBDrky0YwThHo aJJCO6IcLy8JE8rbbtNduw== 0000814181-07-000024.txt : 20070123 0000814181-07-000024.hdr.sgml : 20070123 20070123140949 ACCESSION NUMBER: 0000814181-07-000024 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061222 FILED AS OF DATE: 20070123 DATE AS OF CHANGE: 20070123 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: ROSS PETER M CENTRAL INDEX KEY: 0001274426 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14681 FILM NUMBER: 07545784 4 1 form4_pr012307ex.xml X0202 4 2006-12-22 0 0000814181 PENN TREATY AMERICAN CORP PTA 0001274426 ROSS PETER M 3440 LEHIGH STREET ALLENTOWN PA 18103 1 0 0 0 Incentive stock option (right to buy) 6.67 2006-12-22 4 A 0 3128 A 2007-12-22 2016-12-22 Common stock 3128 16044 D Grant of incentive stock options as director Reflects effect of the 1-for-4 reverse stock split on stock options reported by Mr. Ross as of the effective date of the reverse stock split (ie. July 11, 2005). /s/ Linda G. Carraghan, by power of attorney for Peter Ross 2007-01-23 -----END PRIVACY-ENHANCED MESSAGE-----