0001171843-22-000854.txt : 20220208 0001171843-22-000854.hdr.sgml : 20220208 20220208122446 ACCESSION NUMBER: 0001171843-22-000854 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220204 FILED AS OF DATE: 20220208 DATE AS OF CHANGE: 20220208 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: 22600080 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 2022-02-04 0 0000879635 MID PENN BANCORP INC MPB 0001557321 Noone John E 2407 PARK DRIVE HARRISBURG PA 17110 1 0 0 0 Mid Penn Bancorp, Inc. Common Stock 2022-02-04 4 P 0 500 28.715 A 28100 I By John E. Noone Trust Mid Penn Bancorp, Inc. Common Stock 2022-02-04 4 P 0 500 28.65 A 28600 I By John E. Noone Trust Mid Penn Bancorp, Inc. Common Stock 12318.517 D Mid Penn Bancorp, Inc. Common Stock 2700 I By John Noone SEP IRA Mid Penn Bancorp, Inc. Common Stock 703 D Balance includes shares acquired through the Dividend Reinvestment Plan. Includes 200 shares previously reported as held by spouse's IRA and acquired upon the death of spouse. Shares granted in the form of restricted stock, which vests 100% on the first anniversary of the date of grant. /s/ John E. Noone 2022-02-08