-----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, Ew7BGFAZyMGYcZ7pa2gok7uF287ubXMObOS/DQ9d/OMIaFLgiSTdlOS6clRUJRH9 WZgsGsANcu/Wl/CNsbtLcg== 0001116502-06-001160.txt : 20060602 0001116502-06-001160.hdr.sgml : 20060602 20060602170523 ACCESSION NUMBER: 0001116502-06-001160 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060531 FILED AS OF DATE: 20060602 DATE AS OF CHANGE: 20060602 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Grubic Robert C CENTRAL INDEX KEY: 0001348171 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 06883976 BUSINESS ADDRESS: BUSINESS PHONE: 717-540-7794 MAIL ADDRESS: STREET 1: 4315 STONELEIGH COURT CITY: HARRISBURG STATE: PA ZIP: 17112 4 1 x1-55266_ex.xml X0202 4 2006-05-31 0 0000879635 MID PENN BANCORP INC (MBP) 0001348171 Grubic Robert C 4315 STONELEIGH COURT HARRISBURG PA 17112 1 0 0 0 Common Stock 2006-05-31 4 P 0 3000 25.0833 A 7029 D /s/ Robert C. Grubic 2006-05-31 -----END PRIVACY-ENHANCED MESSAGE-----