0001171843-18-006027.txt : 20180813 0001171843-18-006027.hdr.sgml : 20180813 20180813140839 ACCESSION NUMBER: 0001171843-18-006027 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20180801 FILED AS OF DATE: 20180813 DATE AS OF CHANGE: 20180813 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Smith Patrick M. CENTRAL INDEX KEY: 0001749288 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 181011782 MAIL ADDRESS: STREET 1: 349 UNION STREET CITY: MILLERSBURG STATE: PA ZIP: 17601 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 STREET CITY: MILLERSBURG STATE: PA ZIP: 17061 BUSINESS PHONE: 8666427736 MAIL ADDRESS: STREET 1: 349 UNION STREET CITY: MILLERSBURG STATE: PA ZIP: 17061 3 1 ownership.xml X0206 3 2018-08-01 0 0000879635 MID PENN BANCORP INC MPB 0001749288 Smith Patrick M. 349 UNION STREET MILLERSBURG PA 17061 1 0 0 0 Mid Penn Bancorp, Inc. Common Stock 4973 D Mid Penn Bancorp, Inc. Common Stock 870 I IRA Each share of First Priority Financial Corp. common stock was exchanged in connection with the merger with Mid Penn Bancorp, Inc. ("MPB") for 0.3481 shares of MPB common stock. Exhibit List Exhibit 24 - Power of Attorney /s/ Cindy L. Wetzel, Attorney-in-Fact 2018-08-13 EX-24 2 exh_24.htm EXHIBIT 24

Exhibit 24

 

MID PENN BANCORP, INC.

 

Power of Attorney

 

 

The undersigned hereby constitutes and appoints each of Cindy L. Wetzel, Corporate Secretary, Olivia M. Caley, Director of Financial Reporting, and Stephanie R. Hager, or any of them signing singly, the undersigned's true and lawful attorney-in-fact to:

 

(1) prepare, execute in the undersigned's name and on the undersigned's behalf, and submit to the U.S. Securities and Exchange Commission (the "SEC"), a Form ID, including amendments thereto, and any other documents necessary or appropriate to obtain codes and passwords enabling the undersigned to make electronic filings with the SEC of reports required by Section 16(a) of the Securities Exchange Act of 1934, as amended, and the rules thereunder ("Section 16");

 

(2) execute for and on behalf of the undersigned, in the undersigned's capacity as a Director and/or Officer of MID PENN BANCORP, INC. and/or its subsidiaries (the "Corporation"), Forms 3, 4 and 5 in accordance with Section 16;

 

(3) do and perform any and all acts for and on behalf of the undersigned that may be necessary or desirable to complete and execute any such Form 3, 4 or 5, complete and execute any amendment or amendments thereto, and timely file such Form(s) with the United States Securities and Exchange Commission and any stock exchange or similar authority; and

 

(4) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's sole discretion.

 

The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted. The undersigned (i) acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Corporation assuming, any of the undersigned's responsibilities to comply with Section 16, and (ii) neither the attorney-in-fact, nor the Corporation, shall bear any liability for acting or failing to act in respect of the undersigned's obligations under Section 16.

 

This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Corporation, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.

 

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this [2] day of August, 2018.

 

Signed: /s/ Patrick Smith

 

Print Name: Patrick Smith