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