0001728220-18-000001.txt : 20180118 0001728220-18-000001.hdr.sgml : 20180118 20180118101224 ACCESSION NUMBER: 0001728220-18-000001 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180108 FILED AS OF DATE: 20180118 DATE AS OF CHANGE: 20180118 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ANDRAS MARILYN K CENTRAL INDEX KEY: 0001728220 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 18533142 MAIL ADDRESS: STREET 1: 244 EAST LAKE ROAD CITY: ACME STATE: PA ZIP: 15610 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 1 primary_doc.xml PRIMARY DOCUMENT X0206 3 2018-01-08 0 0000879635 MID PENN BANCORP INC MPB 0001728220 ANDRAS MARILYN K 244 EAST LAKE ROAD ACME PA 15610 0 0 0 1 Managing Partner of 10% Owner common stock 138591 I By Lawrence Keister & Co. Partnership common stock 34719 D MARILYN K ANDRAS 2018-01-18