0000879635-24-000016.txt : 20240103 0000879635-24-000016.hdr.sgml : 20240103 20240103125326 ACCESSION NUMBER: 0000879635-24-000016 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231229 FILED AS OF DATE: 20240103 DATE AS OF CHANGE: 20240103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Evans Albert J. CENTRAL INDEX KEY: 0001749416 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 24505249 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] ORGANIZATION NAME: 02 Finance 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_1704304398.xml FORM 4 X0508 4 2023-12-29 0 0000879635 MID PENN BANCORP INC MPB 0001749416 Evans Albert J. 2407 PARK DRIVE HARRISBURG PA 17110 1 0 0 0 0 Mid Penn Bancorp, Inc. Common Stock 2023-12-29 4 P 0 411 24.28 A 24850.015 D Mid Penn Bancorp, Inc. Common Stock 1208 I Company-owned Shares purchased through the Director Stock Purchase Plan. Balance includes shares acquired through the Dividend Reinvestment Plan. Shares held in the name of Frontier Trust FSB, TTEE Fanelli, Evans & Patel. /s/ Albert J. Evans 2024-01-03