-----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, POxayN6tDl5YpLUh9HASA5Jy1IK8Hm1DOGVeHRNiAJgYpEacpq3TlTsycWDuzwab Y44gqlgMl6AkTAtXr3Qcaw== 0001354488-10-000676.txt : 20100308 0001354488-10-000676.hdr.sgml : 20100308 20100308095729 ACCESSION NUMBER: 0001354488-10-000676 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100305 FILED AS OF DATE: 20100308 DATE AS OF CHANGE: 20100308 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Monteverde Terrence M. CENTRAL INDEX KEY: 0001485628 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 10662513 MAIL ADDRESS: STREET 1: 535 W. HIGH ST CITY: HUMMELSTOWN STATE: PA ZIP: 17036 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 3 1 issuerdirect_section16.xml PRIMARY DOCUMENT X0203 3 2010-03-05 0 0000879635 MID PENN BANCORP INC MPB 0001485628 Monteverde Terrence M. 535 W. HIGH ST HUMMELSTOWN PA 17036 1 Chief Credit Officer Common Stock 1225 D Securities are in an IRA account. /s/ Terrence M. Monteverde 2010-03-05 -----END PRIVACY-ENHANCED MESSAGE-----