-----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, GJYaeO1xPoz3guZWqTUIe4xQ4SEBxBqWL3N9Ha5vN4PxLgVbvSiaE/45hA03Pr9t 8pCGhZJS6sP74ICiFeDvqA== 0001140361-03-003633.txt : 20031001 0001140361-03-003633.hdr.sgml : 20031001 20031001173458 ACCESSION NUMBER: 0001140361-03-003633 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030929 FILED AS OF DATE: 20031001 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WL ROSS & CO LLC CENTRAL INDEX KEY: 0001202045 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14681 FILM NUMBER: 03921656 BUSINESS ADDRESS: STREET 1: 101 EAST 52ND STREET STREET 2: 19TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 2128262042 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 4 1 doc1.xml FORM 4 X0201 4 2003-09-29 0 0000814181 PENN TREATY AMERICAN CORP PTA 0001202045 WL ROSS & CO LLC 101 EAST 52ND STREET 19TH FLOOR NEW YORK NY 10022 0 0 1 0 Convertible Notes Due 2008 1.75 2003-09-29 4 S 0 1100000 1213975 D 1988-08-08 2008-10-15 Common Stock 628571.43 17622000 I By WLR Recovery Fund II L.P. The convertible notes are immediately exerciseable. In the reporting persons' Form 3 filed on 04/07/2003, the aggregate principal amount of the convertible debt held by the reporting persons should have been reflected as $18,722,000. The shares are held directly by WLR Recovery Fund II, L.P. The general partner of WLR Recovery Fund II, L.P. is WLR Recovery Associates II LLC. Wilbur L. Ross, Jr. is the managing member, and W.L. Ross & Co. LLC is the advisor, of WLR Recovery Associates II LLC. (4) Signing individually and on behalf of WLR Recovery Fund II, L.P., WLR Recovery Associates II LLC, and W.L. Ross & Co. LLC. Wilbur L. Ross, Jr. (4) 2003-10-01 -----END PRIVACY-ENHANCED MESSAGE-----