0001171843-18-000906.txt : 20180206 0001171843-18-000906.hdr.sgml : 20180206 20180206135431 ACCESSION NUMBER: 0001171843-18-000906 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180206 FILED AS OF DATE: 20180206 DATE AS OF CHANGE: 20180206 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: 18577107 MAIL ADDRESS: STREET 1: 105 MISSOURI DRIVE CITY: ELIZABETHVILLE STATE: PA ZIP: 17023 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 STREET CITY: MILLERSBURG STATE: PA ZIP: 17061 BUSINESS PHONE: 8666427736 MAIL ADDRESS: STREET 1: 349 UNION STREET CITY: MILLERSBURG STATE: PA ZIP: 17061 4 1 formfour.xml FORM 4 X0306 4 2018-02-06 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 2018-02-06 4 P 0 100 32.85 A 4853.375 D Mid Penn Bancorp, Inc. Common Stock 2018-02-06 4 P 0 100 32.845 A 4953.375 D Mid Penn Bancorp, Inc. Common Stock 2018-02-06 4 P 0 100 32.75 A 5053.375 D Mid Penn Bancorp, Inc. Common Stock 400 D 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/ Robert E. Klinger 2018-02-06