-----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, RFdBe5ddvAPqttB+uykzT6rxHQapUJIiGEhY2/pHo9/LTbq+EQ+W1sURwtlFEIZG 9R5FJpR5jLITjmDKG/V/7A== 0001179110-03-013399.txt : 20031224 0001179110-03-013399.hdr.sgml : 20031224 20031224125629 ACCESSION NUMBER: 0001179110-03-013399 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031223 FILED AS OF DATE: 20031224 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROSS PETER M CENTRAL INDEX KEY: 0001274426 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14681 FILM NUMBER: 031073447 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 3 1 edgar.xml FORM 3 - X0201 3 2003-12-23 0 0000814181 PENN TREATY AMERICAN CORP PTA 0001274426 ROSS PETER M 3440 LEHIGH STREET ALLENTOWN PA 18103 1 0 0 0 Common Stock 5000 I Footnote Shares held in Trust, for which reporting person is settlor and trustee. /s/ Linda G. Carraghan, by power of attorney for Peter M. Ross 2003-12-24 -----END PRIVACY-ENHANCED MESSAGE-----