-----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, V5+pXjO5tP41qXpm1eBfHhrb771stQdbRWghPah26535OFZL/oG2lhb10xqM5LGp qfc3dG/1w6a+tzjAM06ifg== 0000930413-04-003433.txt : 20040802 0000930413-04-003433.hdr.sgml : 20040802 20040802170021 ACCESSION NUMBER: 0000930413-04-003433 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040730 FILED AS OF DATE: 20040802 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KERWIN GREGORY M CENTRAL INDEX KEY: 0001253413 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 04945658 BUSINESS ADDRESS: STREET 1: 1 IRISH RD STREET 2: PO BOX 131 CITY: LYKENS STATE: PA ZIP: 17048 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 1 c33149_ex.xml