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