0000879635-23-000107.txt : 20231121 0000879635-23-000107.hdr.sgml : 20231121 20231121123116 ACCESSION NUMBER: 0000879635-23-000107 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231120 FILED AS OF DATE: 20231121 DATE AS OF CHANGE: 20231121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RITRIEVI RORY G CENTRAL INDEX KEY: 0001230831 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 231426020 MAIL ADDRESS: STREET 1: 2407 PARK DRIVE CITY: HARRISBURG STATE: PA ZIP: 17110 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: 2407 PARK DRIVE CITY: HARRISBURG STATE: PA ZIP: 17110 BUSINESS PHONE: 8666427736 MAIL ADDRESS: STREET 1: 2407 PARK DRIVE CITY: HARRISBURG STATE: PA ZIP: 17110 4 1 wk-form4_1700587866.xml FORM 4 X0508 4 2023-11-20 0 0000879635 MID PENN BANCORP INC MPB 0001230831 RITRIEVI RORY G 2407 PARK DRIVE HARRISBURG PA 17110 1 1 0 0 President and CEO 0 Mid Penn Bancorp, Inc. Common Stock 2023-11-20 4 P 0 94 21.61 A 39953.714 D Mid Penn Bancorp, Inc. Common Stock 4163.093 I IRA Mid Penn Bancorp, Inc. Common Restricted Stock 26753 D Balance includes shares acquired through the Dividend Reinvestment Plan. Shares granted in the form of restricted stock, which vest according to the terms of each respective grant. /s/ Rory G. Ritrievi 2023-11-21