0000879635-24-000067.txt : 20240403
0000879635-24-000067.hdr.sgml : 20240403
20240403135124
ACCESSION NUMBER: 0000879635-24-000067
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240401
FILED AS OF DATE: 20240403
DATE AS OF CHANGE: 20240403
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Specht William A III
CENTRAL INDEX KEY: 0001348170
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13677
FILM NUMBER: 24817971
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_1712166673.xml
FORM 4
X0508
4
2024-04-01
0
0000879635
MID PENN BANCORP INC
MPB
0001348170
Specht William A III
2407 PARK DRVIE
HARRISBURG
PA
17110
1
0
0
0
0
Mid Penn Bancorp, Inc. Common Restricted Stock
2024-04-01
4
A
0
999
0
A
2759
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.
Shares granted in the form of restricted stock, which vest according to the terms of each respective 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
2024-04-03