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