0001171843-22-002374.txt : 20220405
0001171843-22-002374.hdr.sgml : 20220405
20220405122817
ACCESSION NUMBER: 0001171843-22-002374
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220401
FILED AS OF DATE: 20220405
DATE AS OF CHANGE: 20220405
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Webb Justin T.
CENTRAL INDEX KEY: 0001555503
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13677
FILM NUMBER: 22805845
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
2022-04-01
0
0000879635
MID PENN BANCORP INC
MPB
0001555503
Webb Justin T.
2407 PARK DR.
HARRISBURG
PA
17110
0
1
0
0
SEVP and COO
Mid Penn Bancorp, Inc. Common Stock
2022-04-01
4
A
0
1511
0
A
3338
D
Mid Penn Bancorp, Inc. Common Stock
7143.320
D
Mid Penn Bancorp, Inc. Common Stock
3750
I
IRA
Shares granted in the form of restricted stock which vests according to the terms of each respective grant.
Balance includes shares acquired through Employee Stock Purchase Plan and Dividend Reinvestment Plan.
/s/ Justin T. Webb
2022-04-05