0001171843-14-004249.txt : 20140909
0001171843-14-004249.hdr.sgml : 20140909
20140909104437
ACCESSION NUMBER: 0001171843-14-004249
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140905
FILED AS OF DATE: 20140909
DATE AS OF CHANGE: 20140909
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: RITRIEVI RORY G
CENTRAL INDEX KEY: 0001230831
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13677
FILM NUMBER: 141092596
MAIL ADDRESS:
STREET 1: 1019 TUNBRIDGE LANE
CITY: MECHANICSBURG
STATE: PA
ZIP: 17050
4
1
form4.xml
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
X0306
4
2014-09-05
0000879635
MID PENN BANCORP INC
MPB
0001230831
RITRIEVI RORY G
1019 TUNBRIDGE LANE
MECHANICSBURG
PA
17050
1
1
0
0
President and CEO
Mid Penn Bancorp, Inc. Common Stock
2014-09-05
4
P
0
18
16.00
A
3180.9038
I
IRA
Mid Penn Bancorp, Inc. Common Stock
4446.73
D
Mid Penn Bancorp, Inc. Common Stock
12.7433
I
IRA
Mid Penn Bancorp, Inc. Common Stock
1908.6615
D
Balance includes shares acquired through Employee Stock Purchase Plan and Dividend Reinvestment Plan.
/s/ Rory G. Ritrievi
2014-09-09