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