0001171843-17-004312.txt : 20170725
0001171843-17-004312.hdr.sgml : 20170725
20170725110506
ACCESSION NUMBER: 0001171843-17-004312
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170725
FILED AS OF DATE: 20170725
DATE AS OF CHANGE: 20170725
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Abel Robert A
CENTRAL INDEX KEY: 0001511696
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13677
FILM NUMBER: 17979631
MAIL ADDRESS:
STREET 1: 2303 CLARIDGE COURT
CITY: ENOLA
STATE: PA
ZIP: 17025
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 STREET
CITY: MILLERSBURG
STATE: PA
ZIP: 17061
BUSINESS PHONE: 8666427736
MAIL ADDRESS:
STREET 1: 349 UNION STREET
CITY: MILLERSBURG
STATE: PA
ZIP: 17061
4
1
formfour.xml
OWNERSHIP DOCUMENT
X0306
4
2017-07-25
0
0000879635
MID PENN BANCORP INC
MPB
0001511696
Abel Robert A
2303 CLARIDGE COURT
ENOLA
PA
17025
1
0
0
0
Mid Penn Bancorp, Inc. Common Stock
2017-07-25
4
A
0
400
0
A
400
D
Mid Penn Bancorp, Inc. Common Stock
6074.576
I
By Robert and Julie Abel Living Trust
Shares granted in the form of restricted stock, which vests 100% on the first anniversary of the date of grant.
Balance includes shares acquired through Dividend Reinvestment Plan.
/s/ Robert A. Abel
2017-07-25