-----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, PZ6luqmdbCpUJ/9dj7fr5uK1isUNY9y2FaykHXeps3o0q0asKE2dOm+faAXAfUOp DCc+kymSeMUyx8TN4aGGkg== 0001354488-09-001638.txt : 20090828 0001354488-09-001638.hdr.sgml : 20090828 20090828164915 ACCESSION NUMBER: 0001354488-09-001638 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090803 FILED AS OF DATE: 20090828 DATE AS OF CHANGE: 20090828 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOWERY THEODORE W CENTRAL INDEX KEY: 0001278504 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 091043726 MAIL ADDRESS: STREET 1: 841 WYNNEWOOD ROAD CITY: CAMP HILL STATE: PA ZIP: 17011 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/A 1 primary_doc.xml PRIMARY DOCUMENT X0303 4/A 2009-08-03 2009-08-27 0 0000879635 MID PENN BANCORP INC (MPB) 0001278504 MOWERY THEODORE W 129 SOUTH LEWISBERRY ROAD MECHANICSBURG PA 17055 1 0 0 0 Common Stock 2009-08-03 5 P 0 E 650 15.25 A 3010 D /s/ Theodore W. Mowery 2009-08-27 -----END PRIVACY-ENHANCED MESSAGE-----