0001171843-15-006889.txt : 20151218 0001171843-15-006889.hdr.sgml : 20151218 20151218100558 ACCESSION NUMBER: 0001171843-15-006889 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151217 FILED AS OF DATE: 20151218 DATE AS OF CHANGE: 20151218 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Abel Robert A CENTRAL INDEX KEY: 0001511696 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 151295521 MAIL ADDRESS: STREET 1: 2303 CLARIDGE COURT CITY: ENOLA STATE: PA ZIP: 17025 4 1 formfour.xml OWNERSHIP DOCUMENT X0306 4 2015-12-17 0 0000879635 MID PENN BANCORP INC MPB 0001511696 Abel Robert A 2303 CLARIDGE COURT ENOLA PA 17025 1 0 0 0 Mid Penn Bancorp, Inc. Common Stock 2015-12-17 4 P 0 24 16.68 A 3365.14 I Robert and Julie Abel Living Trust Mid Penn Bancorp, Inc. Common Stock 2015-12-17 4 P 0 300 17.46 A 3665.14 I Robert and Julie Abel Living Trust Mid Penn Bancorp, Inc. Common Stock 2015-12-17 4 P 0 676 17.00 A 4341.14 I Robert and Julie Abel Living Trust /s/ Robert A. Abel 2015-12-18