0000879635-24-000018.txt : 20240117 0000879635-24-000018.hdr.sgml : 20240117 20240117144810 ACCESSION NUMBER: 0000879635-24-000018 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240112 FILED AS OF DATE: 20240117 DATE AS OF CHANGE: 20240117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Space Jordan D CENTRAL INDEX KEY: 0002008144 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 24538046 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 3 1 wk-form3_1705520881.xml FORM 3 X0206 3 2024-01-12 0 0000879635 MID PENN BANCORP INC MPB 0002008144 Space Jordan D 2407 PARK DRIVE HARRISBURG PA 17110 0 1 0 0 SEVP/Chief Operating Officer Mid Penn Bancorp, Inc. Common Stock 3193.932 D Mid Penn Bancorp, Inc. Common Restricted Stock 2578 D Shares granted in the form of restricted stock, which vest according to the terms of each respective grant. /s/ Jordan D. Space 2024-01-17