0001170961-12-000022.txt : 20120511
0001170961-12-000022.hdr.sgml : 20120511
20120511162228
ACCESSION NUMBER: 0001170961-12-000022
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120509
FILED AS OF DATE: 20120511
DATE AS OF CHANGE: 20120511
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: PARSOW ALAN S
CENTRAL INDEX KEY: 0001271381
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-14681
FILM NUMBER: 12834837
MAIL ADDRESS:
STREET 1: PO BOX 818
CITY: ELKHORN
STATE: NE
ZIP: 68022
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
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0305
4
2012-05-09
0
0000814181
PENN TREATY AMERICAN CORP
pta
0001271381
PARSOW ALAN S
2222 SKYLINE DRIVE
ELKHORN
NE
68022
1
0
0
0
Common Stock
2012-05-09
4
S
0
150000
0.4
D
1176200
I
See Ftnote 2
Common Stock
2012-05-09
4
S
0
13332
0.41
D
1162868
I
See Ftnote 2
Common Stock
2012-05-09
4
S
0
13334
0.42
D
1149534
I
See Ftnote 2
Common Stock
2012-05-10
5
S
0
E
100000
0.42
D
1049534
I
See Ftnote 2
Of the shares listed that are beneficially owned, the Alan S. Parsow IRA owns 23,500 and Elkhorn Partners LP owns the remaining shares.
Shares held by Elkhorn Partners LP ("Elkhorn"). The general partner of Elkhorn is Parsow Management LLC ("Parsow Management") and the sole manager of Parsow Management is Alan S. Parsow. As a result of these relationships, Parsow Management and Mr. Parsow may be deemed to have or share voting and/or investment power with respect to the shares held by or for the account or benefit of Elkhorn. All information is based on the Schedule 13D/A executed by Elkhorn and filed with the Securities and Exchange Commission on September 13, 2011.
/s/ Alan S. Parsow
2012-05-11