-----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, VFT0VJqwTdpg7/cRufvocrOA5W7xnFCSz03xMmWI6O83CzRUvABz4ctyqpcL1lVk qdWOsJjgFfbKvGHicjpB2A== 0001104659-03-026687.txt : 20031114 0001104659-03-026687.hdr.sgml : 20031114 20031114160610 ACCESSION NUMBER: 0001104659-03-026687 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031114 FILED AS OF DATE: 20031114 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: WAITE CAMERON CENTRAL INDEX KEY: 0001252466 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: 031004719 BUSINESS ADDRESS: STREET 1: 3440 LEHIGH ST CITY: ALLENTOWN STATE: PA ZIP: 18103 BUSINESS PHONE: 215 679 8976 MAIL ADDRESS: STREET 1: 2055 MILLER CITY: PENNSBURG STATE: PA ZIP: 18073 4 1 a4.xml 4 X0201 4 2003-11-14 0 0000814181 PENN TREATY AMERICAN CORP PTA 0001252466 WAITE CAMERON 2055 MILLER ROAD PENNSBURG PA 18073 0 1 0 0 Exec. V.P & C.F.O. Common Stock 2003-11-14 4 P 0 5000 1.69 A 27200 D /s/ Linda G. Carraghan, by power of attorney for Cameron B. Waite 2003-11-14 -----END PRIVACY-ENHANCED MESSAGE-----