0001171843-14-002967.txt : 20140627 0001171843-14-002967.hdr.sgml : 20140627 20140624142542 ACCESSION NUMBER: 0001171843-14-002967 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140623 FILED AS OF DATE: 20140624 DATE AS OF CHANGE: 20140624 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: Noone John E CENTRAL INDEX KEY: 0001557321 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 14937228 MAIL ADDRESS: STREET 1: 2019 MOUNTAIN PINE DRIVE CITY: MECHANICSBURG STATE: PA ZIP: 17050 4 1 form4.xml STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES X0306 4 2014-06-23 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 2014-06-23 4 P 0 100 15.00 A 2200 I By John E. Noone Trust Mid Penn Bancorp, Inc. Common Stock 2014-06-23 4 P 0 1 15.00 A 2201 I By John E. Noone Trust Mid Penn Bancorp, Inc. Common Stock 2014-06-23 4 P 0 299 15.1761 A 2500 I By John E. Noone Trust /s/ John E. Noone 2014-06-24