0001171843-17-005854.txt : 20171002 0001171843-17-005854.hdr.sgml : 20171002 20171002160944 ACCESSION NUMBER: 0001171843-17-005854 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170929 FILED AS OF DATE: 20171002 DATE AS OF CHANGE: 20171002 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: De Soto Matthew G CENTRAL INDEX KEY: 0001422493 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 171114617 MAIL ADDRESS: STREET 1: 144 CORNELL DRIVE CITY: MILLERSBURG STATE: PA ZIP: 17061 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 STREET CITY: MILLERSBURG STATE: PA ZIP: 17061 BUSINESS PHONE: 8666427736 MAIL ADDRESS: STREET 1: 349 UNION STREET CITY: MILLERSBURG STATE: PA ZIP: 17061 4 1 formfour.xml OWNERSHIP DOCUMENT X0306 4 2017-09-29 0 0000879635 MID PENN BANCORP INC MPB 0001422493 De Soto Matthew G 650 WEST MARKET STREET GRATZ PA 17030 1 0 0 0 Mid Penn Bancorp, Inc. Common Stock 2017-09-29 4 P 0 119 29.40 A 10333.086 D Mid Penn Bancorp, Inc. Common Stock 400 D Mid Penn Bancorp, Inc. Common Stock 78 I By LTD Investments Shares purchased through the Director Stock Purchase Plan. Balance includes shares acquired through the Dividend Reinvestment Plan. Shares granted in the form of restricted stock, which vests 100% on the first anniversary of the date of grant. /s/ Matthew G. DeSoto 2017-10-02