0000879635-17-000003.txt : 20171228 0000879635-17-000003.hdr.sgml : 20171228 20171228114625 ACCESSION NUMBER: 0000879635-17-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171228 DATE AS OF CHANGE: 20171228 EFFECTIVENESS DATE: 20171228 FILER: 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 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-301811 FILM NUMBER: 171277619 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 D 1 primary_doc.xml X0708 D LIVE 0000879635 MID PENN BANCORP INC 349 UNION STREET MILLERSBURG PA PENNSYLVANIA 17061 8666427736 PENNSYLVANIA None None Corporation true Rory G Ritrievi c/o Mid Penn Bancorp, Inc. 349 Union Street Millersburg PA PENNSYLVANIA 17061 Executive Officer Director President and Chief Executive Officer Robert C Grubic c/o Mid Penn Bancorp, Inc. 349 Union Street Millersburg PA PENNSYLVANIA 17061 Director Chairman Robert A Abel c/o Mid Penn Bancorp, Inc. 349 Union Street Millersburg PA PENNSYLVANIA 17061 Director Steven T Boyer c/o Mid Penn Bancorp, Inc. 349 Union Street Millersburg PA PENNSYLVANIA 17061 Director Matthew G DeSoto c/o Mid Penn Bancorp, Inc. 349 Union Street Millersburg PA PENNSYLVANIA 17061 Director Gregory M Kerwin c/o Mid Penn Bancorp, Inc. 349 Union Street Millersburg PA PENNSYLVANIA 17061 Director Robert E Klinger c/o Mid Penn Bancorp, Inc. 349 Union Street Millersburg PA PENNSYLVANIA 17061 Director Theodore W Mowery c/o Mid Penn Bancorp, Inc. 349 Union Street Millersburg PA PENNSYLVANIA 17061 Director John E Noone c/o Mid Penn Bancorp, Inc. 349 Union Street Millersburg PA PENNSYLVANIA 17061 Director William A Specht, III c/o Mid Penn Bancorp, Inc. 349 Union Street Millersburg PA PENNSYLVANIA 17061 Director Vice Chairman Robert J Moisey c/o Mid Penn Bancorp, Inc. 349 Union Street Millersburg PA PENNSYLVANIA 17061 Director Noble C Quandel, Jr. c/o Mid Penn Bancorp, Inc. 349 Union Street Millersburg PA PENNSYLVANIA 17061 Director Michael D Peduzzi c/o Mid Penn Bancorp, Inc. 349 Union Street Millersburg PA PENNSYLVANIA 17061 Executive Officer Executive Vice President and Chief Financial Officer Scott W Micklewright c/o Mid Penn Bancorp, Inc. 349 Union Street Millersburg PA PENNSYLVANIA 17061 Executive Officer Executive Vice President and Chief Lending Officer Justin T Webb c/o Mid Penn Bancorp, Inc. 349 Union Street Millersburg PA PENNSYLVANIA 17061 Executive Officer Executive Vice President and Chief Risk Officer Kelly K Neiderer c/o Mid Penn Bancorp, Inc. 349 Union Street Millersburg PA PENNSYLVANIA 17061 Executive Officer Executive Vice President and Chief Retail Officer Commercial Banking $25,000,001 - $100,000,000 06b false 2017-12-20 false true false 50000 Ambassador Financial Group, Inc. 143093 None None 1605 North Cedar Crest Boulevard Suite 508 Allentown PA PENNSYLVANIA 18104 FL FLORIDA IN INDIANA NJ NEW JERSEY NY NEW YORK PA PENNSYLVANIA false 10000000 10000000 0 false 11 75000 0 0 false MID PENN BANCORP INC /s/ Michael D. Peduzzi Michael D. Peduzzi EVP and CFO 2017-12-28