0000879635-23-000109.txt : 20231124
0000879635-23-000109.hdr.sgml : 20231124
20231124095806
ACCESSION NUMBER: 0000879635-23-000109
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231121
FILED AS OF DATE: 20231124
DATE AS OF CHANGE: 20231124
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: 231435300
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
wk-form4_1700837876.xml
FORM 4
X0508
4
2023-11-21
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
2023-11-21
4
P
0
1000
21.0927
A
35525
D
Mid Penn Bancorp, Inc. Common Stock
1003259
I
By Lawrence Keister & Co.
Mid Penn Bancorp, Inc. Common Stock
388
I
By minor child
Mid Penn Bancorp, Inc. Common Restricted Stock
1760
D
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.
Shares granted in the form of restricted stock, which vests 100% on the first anniversary of the date of grant.
/s/ Bruce A. Kiefer
2023-11-24