Filing Details

Accession Number:
0001170961-11-000002
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-10-17 14:58:52
Reporting Period:
2011-10-13
Filing Date:
2011-10-17
Accepted Time:
2011-10-17 14:58:52
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
814181 Penn Treaty American Corp PTA Accident & Health Insurance (6321) 231664166
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1274426 M Peter Ross 726 Bent Lane
Newark DE 19711
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2011-10-13 2,500 $0.20 7,800 No 4 P Indirect See Ftn.
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect See Ftn.
Footnotes
  1. The shares are held in Peter M. Ross's Revocable Trust whereby Peter M. Ross is the Grantor and Trustee pursuant to the Revocable Trust Agreement.