-----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, I6UcZa6SjUhQr4Jvu27anJ+EocSeWt3f7KXH/clxQnoowJC1+i7my3Mx7VF6pqxw XqQ3TTpQq1KmpgHUGPjiOQ== 0000930413-04-004703.txt : 20041012 0000930413-04-004703.hdr.sgml : 20041011 20041012150140 ACCESSION NUMBER: 0000930413-04-004703 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040823 FILED AS OF DATE: 20041012 DATE AS OF CHANGE: 20041012 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DAKEY ALAN W CENTRAL INDEX KEY: 0001253410 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 041074648 BUSINESS ADDRESS: STREET 1: 156 WAGON RD CITY: MILLERSBURG STATE: PA ZIP: 17061 BUSINESS PHONE: 7176922133 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MID PENN BANCORP INC CENTRAL INDEX KEY: 0000879635 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 251666413 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 349 UNION ST CITY: MILLERSBURG STATE: PA ZIP: 17061 BUSINESS PHONE: 7176922133 MAIL ADDRESS: STREET 1: 349 UNION STREET STREET 2: 349 UNION STREET CITY: MILLERSBURG STATE: PA ZIP: 17061 4/A 1 c33962_ex.xml X0202 4/A 2004-08-23 2004-08-23 0 0000879635 MID PENN BANCORP INC MBP 0001253410 DAKEY ALAN W 156 WAGON RD MILLERSBURG PA 17061 1 1 0 0 President & CEO Common Stock 2004-08-23 5 P 0 88.2603 28.3253 A 10105.4971 D /s/ Alan W. Dakey 2004-10-11 -----END PRIVACY-ENHANCED MESSAGE-----