0001171843-23-003721.txt : 20230602 0001171843-23-003721.hdr.sgml : 20230602 20230602143258 ACCESSION NUMBER: 0001171843-23-003721 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230601 FILED AS OF DATE: 20230602 DATE AS OF CHANGE: 20230602 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kiefer Bruce A CENTRAL INDEX KEY: 0001968513 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 23988025 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 X0407 4 2023-06-01 0 0000879635 MID PENN BANCORP INC MPB 0001968513 Kiefer Bruce A 2407 PARK DRIVE HARRISBURG PA 17110 1 0 0 0 0 Mid Penn Bancorp, Inc. Common Stock 2023-06-01 4 A 0 1760 0 A 1760 D Mid Penn Bancorp, Inc. Common Stock 34525 D Mid Penn Bancorp, Inc. Common Stock 388 I By minor child Mid Penn Bancorp, Inc. Common Stock 1003259 I By Lawrence Keister & Co. Shares granted in the form of restricted stock, which vests 100% on the first anniversary of the date of grant. Mr. Kiefer is a managing partner of Lawrence Keister & Co., a family partnership. Accordingly, he is deemed to have shared voting and dispositive power over the shares held by the partnership. Mr. Kiefer disclaims beneficial ownership of shares held by the partnership, except to the extent of his proportionate pecuniary interest therein. /s/ Bruce A. Kiefer 2023-06-02