0001171843-14-001853.txt : 20140424
0001171843-14-001853.hdr.sgml : 20140424
20140424163638
ACCESSION NUMBER: 0001171843-14-001853
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140424
FILED AS OF DATE: 20140424
DATE AS OF CHANGE: 20140424
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MOWERY THEODORE W
CENTRAL INDEX KEY: 0001278504
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13677
FILM NUMBER: 14782114
MAIL ADDRESS:
STREET 1: 841 WYNNEWOOD ROAD
CITY: CAMP HILL
STATE: PA
ZIP: 17011
4
1
form4.xml
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
X0306
4
2014-04-24
0000879635
MID PENN BANCORP INC
MPB
0001278504
MOWERY THEODORE W
129 SOUTH LEWISBERRY ROAD
MECHANICSBURG
PA
17055
1
0
0
0
Mid Penn Bancorp, Inc. Common Stock
2014-04-24
4
P
0
255
14.9
A
5970.13
I
IRA
Mid Penn Bancorp, Inc. Common Stock
3630.11
D
Balance includes shares acquired through Dividend Reinvestment Plan.
/s/ Theodore W. Mowery
2014-04-24