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 - October 29, 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 October 29, 2004, issued by Mid Penn Bancorp, Inc. Item 12. Results of Operations and Financial Condition. On October 29, 2004, Mid Penn Bancorp, Inc., announced it results of operations for the quarter ended September 30, 2004. 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: October 29, 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 October 29, 2004.