0000879635-24-000014.txt : 20240102
0000879635-24-000014.hdr.sgml : 20240102
20240102163417
ACCESSION NUMBER: 0000879635-24-000014
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231229
FILED AS OF DATE: 20240102
DATE AS OF CHANGE: 20240102
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MOWERY THEODORE W
CENTRAL INDEX KEY: 0001278504
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13677
FILM NUMBER: 24502970
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]
ORGANIZATION NAME: 02 Finance
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_1704231236.xml
FORM 4
X0508
4
2023-12-29
0
0000879635
MID PENN BANCORP INC
MPB
0001278504
MOWERY THEODORE W
2407 PARK DRIVE
HARRISBURG
PA
17110
1
0
0
0
0
Mid Penn Bancorp, Inc. Common Stock
2023-12-29
4
P
0
82
24.28
A
29262.886
D
Mid Penn Bancorp, Inc. Common Stock
20999.175
I
IRA
Mid Penn Bancorp, Inc. Common Stock
250
I
By spouse
Mid Penn Bancorp, Inc. Common Restricted Stock
1760
D
Shares purchased through the Director Stock Purchase Plan.
Balance includes shares acquired through the Dividend Reinvestment Plan.
Shares granted in the form of restricted stock, which vests 100% on the first anniversary of the date of grant.
/s/ Theodore W. Mowery
2024-01-02