0001171843-23-003737.txt : 20230602 0001171843-23-003737.hdr.sgml : 20230602 20230602153055 ACCESSION NUMBER: 0001171843-23-003737 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: Noone John E CENTRAL INDEX KEY: 0001557321 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 23988354 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 0001557321 Noone John E 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 38100 I By John E. Noone Trust Mid Penn Bancorp, Inc. Common Stock 1200 I IRA Mid Penn Bancorp, Inc. Common Stock 2500 I By John Noone SEP IRA Mid Penn Bancorp, Inc. Common Stock 14285.789 D Shares granted in the form of restricted stock, which vests 100% on the first anniversary of the date of grant. Balance includes shares acquired through the Dividend Reinvestment Plan. /s/ John E. Noone 2023-06-02