U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
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Form 8-K
CURRENT REPORT
Pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934
Date of Report - October 29, 2004
Mid Penn Bancorp, Inc.
Pennsylvania 0-20141 25-1666413
349 Union Street Millersburg Pennsylvania 17061
717/692-2133
Not Applicable
(Former name or former address, if changed since last report)
Item 7. Financial Statement, Pro Forma Financial Information And
Exhibits.
(c) Exhibits.
Exhibit Number
99.1 Press Release, dated October 29, 2004, issued by Mid
Penn Bancorp, Inc.
Item 12. Results of Operations and Financial Condition.
On October 29, 2004, Mid Penn Bancorp, Inc., announced it results of
operations for the quarter ended September 30, 2004. A copy of the related press
release is being furnished as Exhibit 99.1 to this Form 8-K.
SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934,
the Registrant has duly caused this report to be signed on its behalf by the
undersigned hereunto duly authorized.
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(Registrant)
Dated: October 29, 2004
Alan W. Dakey /s/,
President and Chief Executive Officer
EXHIBIT INDEX
PAGE NO. IN
MANUALLY
SIGNED
EXHIBIT NO. ORIGINAL
99.1 Press Release, dated October 29, 2004.