Pennsylvania
(State or other jurisdiction of
incorporation or organization)
349 Union Street, Millersburg, Pennsylvania
(Address of principal executive offices)
|
23-1666413
(IRS Employer
Identification No.)
17061
(Zip Code)
|
Large accelerated filer [ ]
|
Accelerated filer [ ]
|
Non-accelerated filer [ ] (Do not check if smaller reporting company)
|
Smaller reporting company [ X ]
|
Title of each class of
securities to be
registered
|
Amount to be
registered (1)
|
Proposed maximum
offering price per
unit (2)
|
Proposed maximum
aggregate offering
price (2)
|
Amount of
registration fee
|
Common Stock,
$1.00 par value
|
100,000
|
$14.88
|
$1,488,000
|
$191.65
|
(1)
|
Pursuant to Rule 416 under the Securities Act of 1933, as amended, this registration statement shall also cover such additional number of the shares of the Registrant’s common stock as may become issuable by operation of the anti-dilution provisions of the plan.
|
(2)
|
Estimated solely for purposes of determining the registration fee. The proposed maximum aggregate offering price per share has been computed pursuant to Rules 457(c) and 457(h) based upon the average of the high and low prices of the Registrant’s common stock as of June 20, 2014, as reported on the NASDAQ stock market.
|
Item 1.
|
Plan Information.
|
Item 2.
|
Registrant Information and Employee Plan Annual Information.
|
Item 3.
|
Incorporation of Documents by Reference.
|
|
(a)
|
Mid Penn Bancorp, Inc.’s Annual Report on Form 10-K for the year ended December 31, 2013, filed with the SEC on March 21, 2014;
|
|
(b)
|
Mid Penn Bancorp, Inc.’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2014, filed with the SEC on May 15, 2014;
|
|
(c)
|
Mid Penn Bancorp, Inc.’s Current Reports on Form 8-K filed with the SEC on May 6, 2014.
|
|
(d)
|
All other reports filed by Mid Penn Bancorp, Inc. pursuant to Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended, since the end of the fiscal year covered by the Annual Report on Form 10-K referred to above; and,
|
(e)
|
The description of Mid Penn Bancorp, Inc.’s common stock contained in Mid Penn Bancorp, Inc.’s Registration Statement No. 333-156759 on Form S-3, filed with the Commission on January 16, 2009, including any amendments or reports filed for the purpose of updating such registration statement.
|
Item 4.
|
Description of Securities.
|
Item 5.
|
Interests of Named Experts and Counsel.
|
Item 6.
|
Indemnification of Directors and Officers.
|
Item 7.
|
Exemption From Registration Claimed.
|
Item 8.
|
Exhibits.
|
Exhibit
No.
|
Exhibits |
4.1
|
Articles of Incorporation of Registrant, as amended. (Incorporated by reference to Exhibit 3(i) of Registrant’s Quarterly Report on Form 10-Q filed with the Securities and Exchange Commission on May 11, 2009.)
|
4.2
|
Statement with Respect to Shares for Series B Preferred Stock. (Incorporated by reference to Exhibit 3.1 to Registrant’s Current Report on Form 8-K as filed with the Securities and Exchange Commission on September 28, 2012.)
|
4.3
|
Bylaws of Registrant, as amended. (Incorporated by reference to Exhibit 3(ii) of Registrant’s Current Report on Form 8-K filed with the Securities and Exchange Commission on August 30, 2010.)
|
5 | Opinion of Bybel Rutledge LLP re: Legality. |
23.1 | Consent of BDO USA, LLP |
23.2 | Consent of ParenteBeard LLC. |
23.3 | Consent of Bybel Rutledge LLP (included in Exhibit 5). |
24 | Power of Attorney of Directors and Officers (included on Signature Pages). |
99.1
|
Mid Penn Bancorp, Inc. 2014 Restricted Stock Plan. (Incorporated by reference to Appendix A of the Registrant’s Definitive Proxy Statement on Schedule 14A as filed with the SEC on March 27, 2014.)
|
Item 9.
|
Undertakings.
|
(a)
|
The undersigned Registrant hereby undertakes:
|
|
(1)
|
To file, during any period in which offers or sales are being made, a post-effective amendment to this registration statement:
|
|
(i)
|
To include any prospectus required by Section 10(a)(3) of the Securities Act of 1933;
|
|
(ii)
|
To reflect in the prospectus any facts or events arising after the effective date of the registration statement (or most recent post-effective amendment thereof) which, individually or in the aggregate, represent a fundamental change in the information set forth in the registration statement. Notwithstanding the foregoing, any increase or decrease in volume of securities offered (if the total dollar value of securities offered would not exceed that which was registered) and any deviation from the low or high end of the estimated maximum offering range may be reflected in the form of prospectus filed with the SEC pursuant to Rule 424(b) if, in the aggregate, the changes in volume and price represent no more than 20 percent change in the maximum aggregate offering price set forth in the “Calculation of Registration Fee” table in the effective registration statement;
|
|
(iii)
|
To include any material information with respect to the plan of distribution not previously disclosed in the registration statement or any material change to such information in the registration statement;
|
|
(2)
|
That, for the purpose of determining any liability under the Securities Act of 1933, each post-effective amendment shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof.
|
|
(3)
|
To remove from registration by means of a post-effective amendment any of the securities being registered which remain unsold at the termination of the offering.
|
|
(b)
|
The undersigned Registrant hereby undertakes that, for purposes of determining any liability under the Securities Act of 1933, each filing of the Registrant’s annual report pursuant to Section 13(a) or Section 15(d) of the Securities Exchange Act of 1934 that is incorporated by reference in the registration statement shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof.
|
|
(c)
|
Insofar as indemnification for liabilities arising under the Securities Act of 1933 may be permitted to directors, officers and controlling persons of the Registrant pursuant to the foregoing provisions, or otherwise, the Registrant has been advised that in the opinion of the Securities and Exchange Commission such indemnification is against public policy as expressed in the Securities Act of 1933 and is, therefore, unenforceable. In the event that a claim for indemnification against such liabilities, other than the payment by the Registrant of expenses incurred or paid by a director, officer or controlling person of the Registrant in the successful defense of any action, suit or proceeding is asserted by such director, officer or controlling person in connection with the securities being registered, the Registrant will, unless in the opinion of its counsel the matter has been settled by controlling precedent, submit to a court of appropriate jurisdiction the question whether such indemnification by it is against public policy as expressed in the Securities Act of 1933 and will be governed by the final adjudication of such issue.
|
Mid Penn Bancorp, Inc.
(Registrant)
|
|||
By: | /s/ Rory G. Ritrievi | ||
Rory G. Ritrievi
President & Chief Executive Officer
|
Name
|
Capacity
|
|
/s/ Rory G. Ritrievi
|
President & Chief Executive Officer and Director
|
|
Rory G. Ritrievi
|
(Principal Executive Officer)
|
|
/s/ Kevin W. Laudenslager
|
Vice President & Chief Financial Officer
|
|
Kevin W. Laudenslager
|
(Principal Financial and Accounting Officer)
|
|
/s/ Robert A. Abel
|
Director
|
|
Robert A. Abel
|
/s/ Steven T. Boyer
|
Director
|
|
Steven T. Boyer
|
||
/s/ Matthew G. DeSoto
|
Director
|
|
Matthew G. DeSoto
|
||
/s/ Robert C. Grubic
|
Director
|
|
Robert C. Grubic
|
||
/s/ Gregory M. Kerwin
|
Director
|
|
Gregory M. Kerwin
|
||
/s/ Robert E. Klinger
|
Director
|
|
Robert E. Klinger
|
||
/s/ Theodore W. Mowery
|
Director
|
|
Theodore W. Mowery
|
||
/s/ John E. Noone
|
Director
|
|
John E. Noone
|
||
/s/ William A. Specht, III
|
Director
|
|
William A. Specht, III
|
Exhibit
No.
|
Exhibits |
4.1
|
Articles of Incorporation of Registrant, as amended. (Incorporated by reference to Exhibit 3(i) of Registrant’s Quarterly Report on Form 10-Q filed with the Securities and Exchange Commission on May 11, 2009.)
|
4.2
|
Statement with Respect to Shares for Series B Preferred Stock. (Incorporated by reference to Exhibit 3.1 to Registrant’s Current Report on Form 8-K as filed with the Securities and Exchange Commission on September 28, 2012.)
|
4.3
|
Bylaws of Registrant, as amended. (Incorporated by reference to Exhibit 3(ii) of Registrant’s Current Report on Form 8-K filed with the Securities and Exchange Commission on August 30, 2010.)
|
5 | Opinion of Bybel Rutledge LLP re: Legality. |
23.1 | Consent of BDO USA, LLP |
23.2 | Consent of ParenteBeard LLC. |
23.3 | Consent of Bybel Rutledge LLP (included in Exhibit 5). |
24 | Power of Attorney of Directors and Officers (included on Signature Pages). |
99.1
|
Mid Penn Bancorp, Inc. 2014 Restricted Stock Plan. (Incorporated by reference to Appendix A of the Registrant’s Definitive Proxy Statement on Schedule 14A as filed with the SEC on March 27, 2014.)
|