0001171843-21-008590.txt : 20211217 0001171843-21-008590.hdr.sgml : 20211217 20211217101030 ACCESSION NUMBER: 0001171843-21-008590 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211215 FILED AS OF DATE: 20211217 DATE AS OF CHANGE: 20211217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kerwin Joseph D. CENTRAL INDEX KEY: 0001749452 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 211499947 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] 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 ownership.xml X0306 4 2021-12-15 0 0000879635 MID PENN BANCORP INC MPB 0001749452 Kerwin Joseph D. 2407 PARK DRIVE HARRISBURG PA 17110 1 0 0 0 Mid Penn Bancorp, Inc. Common Stock 2021-12-15 4 P 0 500 29.60 A 49585.076 D Balance includes shares acquired through the Dividend Reinvestment Plan. /s/ Joseph D. Kerwin 2021-12-17