-----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, WzErXurYtM4aeDVdz6QciKPSmlp2v79YTR08J/KgVNVtLK4NG0G08jSAVLZpyJW0 9WP16WxAmY11KcWZvnvjOg== 0001116502-09-000489.txt : 20090331 0001116502-09-000489.hdr.sgml : 20090331 20090331092019 ACCESSION NUMBER: 0001116502-09-000489 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090330 FILED AS OF DATE: 20090331 DATE AS OF CHANGE: 20090331 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Specht William A III CENTRAL INDEX KEY: 0001348170 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 09716173 MAIL ADDRESS: STREET 1: 202 NELSON TERRACE CITY: MILLERSBURG STATE: PA ZIP: 17061 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 specht_ex.xml X0303 4 2009-03-30 0 0000879635 MID PENN BANCORP INC MPB 0001348170 Specht William A III 202 NELSON TERRACE MILLERSBURG PA 17061 1 0 0 0 Common Stock 2009-03-30 5 P 0 200 19.00 A 33911 D /s/ William A. Specht III 2009-03-30 -----END PRIVACY-ENHANCED MESSAGE-----