0001171843-13-002050.txt : 20130515 0001171843-13-002050.hdr.sgml : 20130515 20130515142917 ACCESSION NUMBER: 0001171843-13-002050 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130514 FILED AS OF DATE: 20130515 DATE AS OF CHANGE: 20130515 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Noone John E CENTRAL INDEX KEY: 0001557321 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 13845939 MAIL ADDRESS: STREET 1: 2019 MOUNTAIN PINE DRIVE CITY: MECHANICSBURG STATE: PA ZIP: 17050 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MID PENN BANCORP INC CENTRAL INDEX KEY: 0000879635 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 251666413 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 349 UNION ST CITY: MILLERSBURG STATE: PA ZIP: 17061 BUSINESS PHONE: 7176922133 MAIL ADDRESS: STREET 1: 349 UNION STREET STREET 2: 349 UNION STREET CITY: MILLERSBURG STATE: PA ZIP: 17061 4 1 form4.xml STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES X0306 4 2013-05-14 0000879635 MID PENN BANCORP INC MPB 0001557321 Noone John E 2019 MOUNTAIN PINE DRIVE MECHANICSBURG PA 17050 1 0 0 0 Mid Penn Bancorp, Inc. Common Stock 2013-05-14 4 P 0 500 9.99 A 1000 D /s/ John E. Noone 2013-05-15