-----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, TNP0M0Z0fW9TpCZ7A3vlmY/gG3unhXHFKgHJ/HjwW3AeOIP0QOo6+YApmL/FwvRa UiYD9u+tuqjimg4zpC6lnA== 0001116502-06-002065.txt : 20061018 0001116502-06-002065.hdr.sgml : 20061018 20061018150849 ACCESSION NUMBER: 0001116502-06-002065 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060828 FILED AS OF DATE: 20061018 DATE AS OF CHANGE: 20061018 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: WILLIAMS ERIC S CENTRAL INDEX KEY: 0001253422 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 061150759 BUSINESS ADDRESS: STREET 1: 5 GRAYSTONE MANOR DR CITY: CAMP HILL STATE: PA ZIP: 17011 BUSINESS PHONE: 7176922133 4/A 1 x1-55615_ex.xml X0202 4/A 2006-08-28 2006-08-22 0 0000879635 MID PENN BANCORP INC MBP 0001253422 WILLIAMS ERIC S 5 GRAYSTONE MANOR DRIVE CAMP HILL PA 17011 0 1 0 0 Ex VP & Chief Lending Officer Common Stock 2006-08-28 5 P 0 24.0974 24.899 A 388.2912 D The RTCO Shares 277.3862 + IRA Mid Penn Bank Shares 110.905 = 388.2912. /s/ Eric S. Williams 2006-10-18 -----END PRIVACY-ENHANCED MESSAGE-----