0001171843-16-007943.txt : 20160217 0001171843-16-007943.hdr.sgml : 20160217 20160217160141 ACCESSION NUMBER: 0001171843-16-007943 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160216 FILED AS OF DATE: 20160217 DATE AS OF CHANGE: 20160217 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: 161433160 MAIL ADDRESS: STREET 1: 2019 MOUNTAIN PINE DRIVE CITY: MECHANICSBURG STATE: PA ZIP: 17050 4 1 f4_noone021716.xml OWNERSHIP DOCUMENT X0306 4 2016-02-16 0 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 2016-02-16 4 P 0 140 15.00 A 11940 I By John E. Noone Trust Mid Penn Bancorp, Inc. Common Stock 2016-02-17 4 P 0 360 15.00 A 12300 I By John E. Noone Trust Mid Penn Bancorp, Inc. Common Stock 2016-02-17 4 P 0 500 14.9825 A 12800 I By John E. Noone Trust /s/ John E. Noone 2016-02-17