0001171843-15-003447.txt : 20150616
0001171843-15-003447.hdr.sgml : 20150616
20150616135409
ACCESSION NUMBER: 0001171843-15-003447
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150616
FILED AS OF DATE: 20150616
DATE AS OF CHANGE: 20150616
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 ST
CITY: MILLERSBURG
STATE: PA
ZIP: 17061
BUSINESS PHONE: 7176922133
MAIL ADDRESS:
STREET 1: 349 UNION STREET
STREET 2: 349 UNION STREET
CITY: MILLERSBURG
STATE: PA
ZIP: 17061
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Klinger Robert E
CENTRAL INDEX KEY: 0001557317
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13677
FILM NUMBER: 15933963
MAIL ADDRESS:
STREET 1: 105 MISSOURI DRIVE
CITY: ELIZABETHVILLE
STATE: PA
ZIP: 17023
4
1
formfour.xml
X0306
4
2015-06-16
0
0000879635
MID PENN BANCORP INC
MPB
0001557317
Klinger Robert E
105 MISSOURI DRIVE
ELIZABETHVILLE
PA
17023
1
0
0
0
Mid Penn Bancorp, Inc. Common Stock
2015-06-16
4
P
0
200
16.05
A
3367
D
/s/ Robert E. Klinger
2015-06-16