0001171843-21-003068.txt : 20210503
0001171843-21-003068.hdr.sgml : 20210503
20210503173556
ACCESSION NUMBER: 0001171843-21-003068
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210430
FILED AS OF DATE: 20210503
DATE AS OF CHANGE: 20210503
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: 21884918
MAIL ADDRESS:
STREET 1: 1019 TUNBRIDGE LANE
CITY: MECHANICSBURG
STATE: PA
ZIP: 17050
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
ownership.xml
X0306
4
2021-04-30
0
0000879635
MID PENN BANCORP INC
MPB
0001230831
RITRIEVI RORY G
1019 TUNBRIDGE LANE
MECHANICSBURG
PA
17050
1
1
0
0
President and CEO
Mid Penn Bancorp, Inc. Common Stock
2021-04-30
4
P
0
1000
25.00
A
21104.671
D
Mid Penn Bancorp, Inc. Common Stock
13184
D
Mid Penn Bancorp, Inc. Common Stock
3871.191
I
IRA
Balance includes shares acquired through Employee Stock Purchase Plan and Dividend Reinvestment Plan.
Shares granted in the form of Restricted Stock which vests according to the terms of each respective grant.
Balance includes shares acquired through Dividend Reinvestment Plan.
/s/ Rory G. Ritrievi
2021-05-03