-----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, I48oX2DFYULQ0fguXGl1Gals4PEwr+liwcTxNcNoKWYhg7kt1Pe2xA+cYviUqlxu pIYZiYRBlUHHWBYalvnWWA== 0000814181-08-000024.txt : 20080514 0000814181-08-000024.hdr.sgml : 20080514 20080514152036 ACCESSION NUMBER: 0000814181-08-000024 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080501 FILED AS OF DATE: 20080514 DATE AS OF CHANGE: 20080514 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: Beutel Robert J CENTRAL INDEX KEY: 0001434853 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-14681 FILM NUMBER: 08831478 BUSINESS ADDRESS: BUSINESS PHONE: 610-965-2222 MAIL ADDRESS: STREET 1: 3440 LEHIGH STREET STREET 2: C/O PENN TREATY AMERICAN CORPORATION CITY: ALLENTOWN STATE: PA ZIP: 18103 3/A 1 form3-a_rbex.xml X0202 3/A 2008-05-01 2008-05-12 0 0000814181 PENN TREATY AMERICAN CORP PTA 0001434853 Beutel Robert J 3440 LEHIGH STREET C/O PENN TREATY AMERICAN CORPORATION ALLENTOWN PA 18103 1 0 0 0 Common Stock 15500 D Common Stock 527290 I See footnote Common Stock 22200 I See footnote None None D Shares held by Mr. Beutel via his retirement savings account and personal account. Shares held in two corporate accounts. Mr. Beutel is the president of both corporations and a holder of over 10% of each of these two accounts, but he is not the sole beneficiary. Correction to previously reported information. Shares held by Mr. Beutel's wife (via her retirement account and personal account) as to which beneficial ownership is disclaimed. No Table II securities beneficially owned. /s/ Linda G. Carraghan, by Power of Attorney for Robert J. Beutel 2008-05-14 -----END PRIVACY-ENHANCED MESSAGE-----