-----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, AQnhLGlwcZ/uynBuDbq67l+WBb7L18M5ZC/YtareC6PFyZm+zWD/ibf+DtZRl/Ra 1yiQ3N16L6aAPPcXbKKumQ== 0001140361-03-003696.txt : 20031003 0001140361-03-003696.hdr.sgml : 20031003 20031003140243 ACCESSION NUMBER: 0001140361-03-003696 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031001 FILED AS OF DATE: 20031003 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: 03927401 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 2003-10-01 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 2003-10-01 4 S 0 700000 766965 D 1988-08-08 2008-10-15 Common Stock 400000.00 16922000 I By WLR Recovery Fund II L.P. Convertible Notes Due 2008 1.75 2003-10-02 4 S 0 150000 165725 D 1988-08-08 2003-10-15 Common Stock 85714.29 16772000 I By WLR Recovery Fund II L.P. The convertible notes are immediately exerciseable. 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. (3) 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. (3) 2003-10-03 -----END PRIVACY-ENHANCED MESSAGE-----