-----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, BT+nkTFhJiHjMAnx6vmvFRJlKngq2wDwHpUymV3CeUiN5QKR7/Eaz4q9/IW1Tr3O dMmh9uh25RPZFQ/6gajjiw== 0001179110-04-006136.txt : 20040316 0001179110-04-006136.hdr.sgml : 20040316 20040316173041 ACCESSION NUMBER: 0001179110-04-006136 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040312 FILED AS OF DATE: 20040316 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HUNT WILLIAM W CENTRAL INDEX KEY: 0001252455 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: 04673625 BUSINESS ADDRESS: STREET 1: 3440 LEHIGH ST CITY: ALLENTOWN STATE: PA ZIP: 18103 BUSINESS PHONE: 610 793 0489 MAIL ADDRESS: STREET 1: 1110 ALEXANDER LANE CITY: WEST CHESTER STATE: PA ZIP: 19382 4 1 edgar.xml FORM 4 - X0201 4 2004-03-12 0 0000814181 PENN TREATY AMERICAN CORP PTA 0001252455 HUNT WILLIAM W 3440 LEHIGH STREET ALLENTOWN PA 18103 1 1 0 0 President & C.E.O. Incentive Stock Options (right to buy) 1.70 2004-03-12 4 A 0 75000 A 2005-03-12 2014-03-12 Common Stock 75000 180000 D Grant of incentive stock options as officer/director. /s/ Linda G. Carraghan, by power of attorney for William W. Hunt 2004-03-16 -----END PRIVACY-ENHANCED MESSAGE-----