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