0001104659-12-059292.txt : 20120821
0001104659-12-059292.hdr.sgml : 20120821
20120821165832
ACCESSION NUMBER: 0001104659-12-059292
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120817
FILED AS OF DATE: 20120821
DATE AS OF CHANGE: 20120821
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: 2500 LEGACY DRIVE
STREET 2: SUITE 130
CITY: FRISCO
STATE: TX
ZIP: 75034
BUSINESS PHONE: 4693621214
MAIL ADDRESS:
STREET 1: 2500 LEGACY DRIVE
STREET 2: SUITE 130
CITY: FRISCO
STATE: TX
ZIP: 75034
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: 121048210
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
a4.xml
4
X0306
4
2012-08-17
0
0000814181
PENN TREATY AMERICAN CORP
PTYA
0001252447
CLARK ALEXANDER
160 EAST 84TH STREET
NEW YORK
NY
10028
1
0
0
0
Common stock
2012-08-17
4
P
0
25000
0.65
A
79200
D
/s/ Alexander M. Clark
2012-08-21