8-K 1 midpenn_8k.txt U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ------------------------- Form 8-K CURRENT REPORT Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report - January 23, 2004 ___________________Mid Penn Bancorp, Inc._________________ Pennsylvania 0-20141 25-1666413 349 Union Street Millersburg Pennsylvania 17061 - ------------ ------- ---------- ------ _____________717/692-2133_________________ Not Applicable (Former name or former address, if changed since last report) Item 7. Financial Statement, Pro Forma Financial Information And Exhibits. (c) Exhibits. Exhibit Number 99.1 Press Release, dated January 23, 2004, issued by Mid Penn Bancorp, Inc. Item 12. Results of Operations and Financial Condition. On January 23, 2004, Mid Penn Bancorp, Inc., announced it results of operations for the quarter ended December 31, 2003. A copy of the related press release is being furnished as Exhibit 99.1 to this Form 8-K. SIGNATURE Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized. ------------------------------- (Registrant) Dated: January 23, 2004 Alan W. Dakey /s/, President and Chief Executive Officer EXHIBIT INDEX PAGE NO. IN MANUALLY SIGNED EXHIBIT NO. ORIGINAL 99.1 Press Release, dated January 23, 2004.