0001171843-23-003727.txt : 20230602
0001171843-23-003727.hdr.sgml : 20230602
20230602150447
ACCESSION NUMBER: 0001171843-23-003727
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: Specht William A III
CENTRAL INDEX KEY: 0001348170
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13677
FILM NUMBER: 23988205
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
0001348170
Specht William A III
2407 PARK DR.
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
7441
D
Mid Penn Bancorp, Inc. Common Stock
4900
I
By entity wholly-owned
Mid Penn Bancorp, Inc. Common Stock
2235
I
IRA
Mid Penn Bancorp, Inc. Common Stock
31210
I
Trustee
Shares granted in the form of restricted stock, which vests 100% on the first anniversary of the date of grant.
Represents shares held by Seal Glove Manufacturing, Inc., an entity wholly-owned by the Reporting Person.
William A. Specht, III is trustee of a family trust of which the shares are held for the benefit of Janet E. Specht.
/s/ William A. Specht, III
2023-06-02