0001171843-18-004039.txt : 20180517 0001171843-18-004039.hdr.sgml : 20180517 20180517140055 ACCESSION NUMBER: 0001171843-18-004039 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180515 FILED AS OF DATE: 20180517 DATE AS OF CHANGE: 20180517 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: De Soto Matthew G CENTRAL INDEX KEY: 0001422493 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 18842566 MAIL ADDRESS: STREET 1: 144 CORNELL DRIVE CITY: MILLERSBURG STATE: PA ZIP: 17061 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 2018-05-15 0 0000879635 MID PENN BANCORP INC MPB 0001422493 De Soto Matthew G 650 WEST MARKET STREET GRATZ PA 17030 1 0 0 0 Mid Penn Bancorp, Inc. Common Stock 2018-05-15 4 P 0 340 35.5329 A 340 I By PUTMA for Children Mid Penn Bancorp, Inc. Common Stock 2018-05-16 4 P 0 500 35.32 A 840 I By PUTMA for Children Mid Penn Bancorp, Inc. Common Stock 10611.447 D Mid Penn Bancorp, Inc. Common Stock 400 D Mid Penn Bancorp, Inc. Common Stock 78 I By L T D Investments Balance includes shares acquired through the Dividend Reinvestment Plan. Shares granted in the form of restricted stock, which vests 100% on the first anniversary of the date of grant. /s/ Matthew G. DeSoto 2018-05-17