0001171843-20-003167.txt : 20200501 0001171843-20-003167.hdr.sgml : 20200501 20200501112139 ACCESSION NUMBER: 0001171843-20-003167 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200429 FILED AS OF DATE: 20200501 DATE AS OF CHANGE: 20200501 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Noone John E CENTRAL INDEX KEY: 0001557321 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 20839203 MAIL ADDRESS: STREET 1: 2019 MOUNTAIN PINE DRIVE CITY: MECHANICSBURG STATE: PA ZIP: 17050 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 ownership.xml X0306 4 2020-04-29 0 0000879635 MID PENN BANCORP INC MPB 0001557321 Noone John E 2019 MOUNTAIN PINE DRIVE MECHANICSBURG PA 17050 1 0 0 0 Mid Penn Bancorp, Inc. Common Stock 2020-04-29 4 P 0 500 20.67 A 23100 I By John E. Noone Trust Mid Penn Bancorp, Inc. Common Stock 2020-04-29 4 P 0 250 20.99 A 23350 I By John E. Noone Trust Mid Penn Bancorp, Inc. Common Stock 2020-04-29 4 P 0 500 20.70 A 23850 I By John E. Noone Trust Mid Penn Bancorp, Inc. Common Stock 2020-04-30 4 P 0 7 19.50 A 23857 I By John E. Noone Trust Mid Penn Bancorp, Inc. Common Stock 2020-04-30 4 P 0 500 19.9375 A 24357 I By John E. Noone Trust Mid Penn Bancorp, Inc. Common Stock 2020-04-30 4 P 0 500 19.392 A 24857 I By John E. Noone Trust Mid Penn Bancorp, Inc. Common Stock 2500 I By John Noone SEP IRA Mid Penn Bancorp, Inc. Common Stock 200 I By Spouse IRA Mid Penn Bancorp, Inc. Common Stock 400 D Mid Penn Bancorp, Inc. Common Stock 1316.864 D Shares granted in the form of restricted stock, which vests 100% on the first anniversary of the date of grant. Balance includes shares acquired through the Dividend Reinvestment Plan. /s/ John E. Noone 2020-05-01