-----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, MCvUy5q8udRg82+PxTQM+eSQ8SkwRtuOutl4S7x+qAXqIWC0ema80sZ8XhRLQjmt HYeazbts3j+O57uuoNKEtA== 0001116502-07-001655.txt : 20070823 0001116502-07-001655.hdr.sgml : 20070823 20070823124424 ACCESSION NUMBER: 0001116502-07-001655 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070801 FILED AS OF DATE: 20070823 DATE AS OF CHANGE: 20070823 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOWERY THEODORE W CENTRAL INDEX KEY: 0001278504 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 071075040 MAIL ADDRESS: STREET 1: 841 WYNNEWOOD ROAD CITY: CAMP HILL STATE: PA ZIP: 17011 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 1 x1-56507_ex.xml X0202 4 2007-08-01 0 0000879635 MID PENN BANCORP INC MBP 0001278504 MOWERY THEODORE W 841 WYNNEWOOD ROAD CAMP HILL PA 17011 1 0 0 0 Common Stock 2007-08-01 5 P 0 1200 24.93 A 2360 D /s/ Theodore W. Mowery 2007-08-23 -----END PRIVACY-ENHANCED MESSAGE-----