0000879635-24-000051.txt : 20240401 0000879635-24-000051.hdr.sgml : 20240401 20240401142023 ACCESSION NUMBER: 0000879635-24-000051 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240328 FILED AS OF DATE: 20240401 DATE AS OF CHANGE: 20240401 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOWERY THEODORE W CENTRAL INDEX KEY: 0001278504 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 24808189 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_1711995611.xml FORM 4 X0508 4 2024-03-28 0 0000879635 MID PENN BANCORP INC MPB 0001278504 MOWERY THEODORE W 2407 PARK DRIVE HARRISBURG PA 17110 1 0 0 0 0 Mid Penn Bancorp, Inc. Common Stock 2024-03-28 4 P 0 100 20.01 A 31640.373 D Mid Penn Bancorp, Inc. Common Stock 21198.307 I IRA Mid Penn Bancorp, Inc. Common Stock 250 I By spouse Mid Penn Bancorp, Inc. Common Restricted Stock 1760 D 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/ Theodore W. Mowery 2024-04-01