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