0000879635-24-000069.txt : 20240403 0000879635-24-000069.hdr.sgml : 20240403 20240403141036 ACCESSION NUMBER: 0000879635-24-000069 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: Noone John E CENTRAL INDEX KEY: 0001557321 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 24818053 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_1712167827.xml FORM 4 X0508 4 2024-04-01 0 0000879635 MID PENN BANCORP INC MPB 0001557321 Noone John E 2407 PARK DRIVE 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 14406.179 D Mid Penn Bancorp, Inc. Common Stock 40400 I By John E. Noone Trust Mid Penn Bancorp, Inc. Common Stock 1200 I IRA Mid Penn Bancorp, Inc. Common Stock 2500 I By John Noone SEP IRA 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. Balance includes shares acquired through the Dividend Reinvestment Plan. /s/ John E. Noone 2024-04-03