-----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, ONpJijVZIm4CvTP5RS0DJDKI6cAa+QSYdlDTLbdsnsbzL88t5F/61ap9kZt9jDeO i6ErQ0py0xUh0IiDrlJMqA== 0001116502-05-000720.txt : 20050408 0001116502-05-000720.hdr.sgml : 20050408 20050408170139 ACCESSION NUMBER: 0001116502-05-000720 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050408 FILED AS OF DATE: 20050408 DATE AS OF CHANGE: 20050408 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SAUVE DONALD E CENTRAL INDEX KEY: 0001253416 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 05742103 BUSINESS ADDRESS: STREET 1: 37 EAST VICKI LANE CITY: ELIZABETHVILLE STATE: PA ZIP: 17023 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 3/A 1 sauve-d_ex.xml X0202 3/A 2005-04-08 1998-07-13 0 0000879635 MID PENN BANCORP INC MBP 0001253416 SAUVE DONALD E 37 EAST VICKI LANE ELIZABETHVILLE PA 17023 1 0 0 0 Common Stock 1851 D /s/ Donald E. Sauve 2005-04-08 -----END PRIVACY-ENHANCED MESSAGE-----