-----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, GVQ6GhH4O4PJoUkKSRIWZYWBxUu2gbxm+Gq/Wr5rPw+SlD/2SFtPHBvFKvMDQLWH b6RiYPh7Gkr4mvjRwtowpg== 0001354488-09-001641.txt : 20090828 0001354488-09-001641.hdr.sgml : 20090828 20090828171548 ACCESSION NUMBER: 0001354488-09-001641 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090813 FILED AS OF DATE: 20090828 DATE AS OF CHANGE: 20090828 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RITRIEVI RORY G CENTRAL INDEX KEY: 0001230831 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 091043952 MAIL ADDRESS: STREET 1: 1019 TUNBRIDGE LANE CITY: MECHANICSBURG STATE: PA ZIP: 17050 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 2009-08-13 2009-08-27 0 0000879635 MID PENN BANCORP INC (MPB) 0001230831 RITRIEVI RORY G 1019 TURNBRIDGE LANE MECHANICSBURG PA 17050 1 1 0 0 President & CEO Common Stock 2009-08-13 5 P 0 E 802 16.25 A 1802 D Common Stock 2009-08-13 5 P 0 E 2000 16.5 A 3802 D Common Stock 2009-08-13 5 P 0 E 198 16.49 A 4000 D /s/ Rory G. Ritrievi 2009-08-27 -----END PRIVACY-ENHANCED MESSAGE-----