0001171843-18-007875.txt : 20181113 0001171843-18-007875.hdr.sgml : 20181113 20181113123421 ACCESSION NUMBER: 0001171843-18-007875 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180801 FILED AS OF DATE: 20181113 DATE AS OF CHANGE: 20181113 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Frank Joel L. CENTRAL INDEX KEY: 0001749279 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 181176698 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/A 1 ownership.xml X0206 3/A 2018-08-01 2018-08-13 0 0000879635 MID PENN BANCORP INC MPB 0001749279 Frank Joel L. 349 UNION STREET MILLERSBURG PA 17061 1 0 0 0 Mid Penn Bancorp, Inc. Common Stock 2495 D This Amendment is being filed to correct the number of shares reported to be held as of 8/1/2018. Due to an inadvertent oversight, the original filing did not include 1,799 shares held in two brokerage accounts titled in the name of the reporting person and his spouse. Such shares are now included in the amount reported on this Form. /s/ Cindy L. Wetzel, Attorney-in-Fact 2018-11-13