-----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, JtDf0c5z/G6z5Meo3x/z2hG2nadcGdCp5hZJqxAzga5HAEr3hku/o0Hw2FgGLf9+ MyLnReGqXWUZtlPF+h1WVQ== 0001354488-09-000833.txt : 20090522 0001354488-09-000833.hdr.sgml : 20090522 20090520162716 ACCESSION NUMBER: 0001354488-09-000833 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090520 FILED AS OF DATE: 20090520 DATE AS OF CHANGE: 20090520 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Grubic Robert C CENTRAL INDEX KEY: 0001348171 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 09842861 MAIL ADDRESS: STREET 1: 4315 STONELEIGH COURT CITY: HARRISBURG STATE: PA ZIP: 17112 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 primary_doc.xml PRIMARY DOCUMENT X0303 4 2009-05-20 0 0000879635 MID PENN BANCORP INC MPB 0001348171 Grubic Robert C 4315 STONELEIGH COURT HARRISBURG PA 17112 1 0 0 0 Common Stock 2009-05-20 5 P 0 E 2000 19.65 A 20050 D /s/ Robert C. Grubic 2009-05-20 -----END PRIVACY-ENHANCED MESSAGE-----