-----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, L4NibIt/pYdY5VXK8OOccAQk+/C8dQKqhjGDZME+PZvCwbdD/QTX98/4JyKk24Ot LQZvLjBBvfbc9UNsIUsPdg== 0000930413-04-003270.txt : 20040716 0000930413-04-003270.hdr.sgml : 20040716 20040716144947 ACCESSION NUMBER: 0000930413-04-003270 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040524 FILED AS OF DATE: 20040716 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DAKEY ALAN W CENTRAL INDEX KEY: 0001253410 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 04917888 BUSINESS ADDRESS: STREET 1: 156 WAGON RD CITY: MILLERSBURG STATE: PA ZIP: 17061 BUSINESS PHONE: 7176922133 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 c32993_ex.xml X0202 4/A 2004-05-24 2004-05-24 0 0000879635 MID PENN BANCORP INC MBP 0001253410 DAKEY ALAN W 156 WAGON RD MILLERSBURG PA 17061 1 1 0 0 President and CEO Common Stock 2004-05-24 5 P 0 90.4875 27.6281 A 9947.109 D /s/Alan W. Dakey 2004-07-16 -----END PRIVACY-ENHANCED MESSAGE-----