0000879635-24-000097.txt : 20240403
0000879635-24-000097.hdr.sgml : 20240403
20240403145913
ACCESSION NUMBER: 0000879635-24-000097
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: Dickinson Joan E
CENTRAL INDEX KEY: 0001755400
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13677
FILM NUMBER: 24818260
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_1712170742.xml
FORM 4
X0508
4
2024-04-01
0
0000879635
MID PENN BANCORP INC
MPB
0001755400
Dickinson Joan E
2407 PARK DRIVE
HARRISBURG
PA
17110
0
1
0
0
Chief Retail Officer
0
Mid Penn Bancorp, Inc. Common Restricted Stock
2024-04-01
4
A
0
899
0
A
2116
D
Mid Penn Bancorp, Inc. Common Stock
3422.71
D
Shares granted in the form of restricted stock which vest ratably over four years.
Shares granted in the form of restricted stock, which vest according to the terms of each respective grant.
Balance includes shares acquired through Employee Stock Purchase Plan and Dividend Reinvestment Plan and shares of restricted stock that vested on 4/01/2024.
A Form 3 with respect to the Corporation was filed by Joan Dickinson on 10/09/2018. She subsequently filed Forms 4 until it was determined that she was relieved of her Section 16 filing obligations. As of January 24, 2024, Ms. Dickinson again became subject to Section 16 reporting with respect to the Corporation and is filing this Form 4 in light thereof.
/s/ Joan E. Dickinson
2024-04-03