-----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, AmeRY2WSvn9CogxM167/4hVk07K6amocGFecCZWX4Fl0omKHgwX8NHSZmwiVhmz6 F97jjWdxomPe/aE8wN2l8Q== 0001354488-08-001038.txt : 20080527 0001354488-08-001038.hdr.sgml : 20080526 20080527150335 ACCESSION NUMBER: 0001354488-08-001038 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080526 FILED AS OF DATE: 20080527 DATE AS OF CHANGE: 20080527 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WILLIAMS ERIC S CENTRAL INDEX KEY: 0001253422 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 08860531 BUSINESS ADDRESS: STREET 1: 5 GRAYSTONE MANOR DR CITY: CAMP HILL STATE: PA ZIP: 17011 BUSINESS PHONE: 7176922133 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2008-05-26 0 0000879635 MID PENN BANCORP INC MBP 0001253422 WILLIAMS ERIC S 5 GRAYSTONE MANOR DRIVE CAMP HILL PA 17011 0 1 0 0 Ex VP & Chief Lending Officer Common Stock 2008-05-26 5 P 0 E 0 0 A 567.2115 D $600 in cash value contributed as voluntary contribution. Shares and price to be determined by Plan Administrator. /s/ Eric S. Williams 2008-05-27 -----END PRIVACY-ENHANCED MESSAGE-----