0000879635-24-000071.txt : 20240403
0000879635-24-000071.hdr.sgml : 20240403
20240403141742
ACCESSION NUMBER: 0000879635-24-000071
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: 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: 24818075
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_1712168253.xml
FORM 4
X0508
4
2024-04-01
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 Restricted Stock
2024-04-01
4
A
0
999
0
A
2759
D
Mid Penn Bancorp, Inc. Common Stock
31640.373
D
Mid Penn Bancorp, Inc. Common Stock
21198.307
I
IRA
Mid Penn Bancorp, Inc. Common Stock
250
I
By spouse
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/ Theodore W. Mowery
2024-04-03