0001171843-19-004852.txt : 20190725
0001171843-19-004852.hdr.sgml : 20190725
20190725090623
ACCESSION NUMBER: 0001171843-19-004852
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190725
FILED AS OF DATE: 20190725
DATE AS OF CHANGE: 20190725
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Klinger Robert E
CENTRAL INDEX KEY: 0001557317
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13677
FILM NUMBER: 19972698
MAIL ADDRESS:
STREET 1: 105 MISSOURI DRIVE
CITY: ELIZABETHVILLE
STATE: PA
ZIP: 17023
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
ownership.xml
X0306
4
2019-07-25
0
0000879635
MID PENN BANCORP INC
MPB
0001557317
Klinger Robert E
105 MISSOURI DRIVE
ELIZABETHVILLE
PA
17023
1
0
0
0
Mid Penn Bancorp, Inc. Common Stock
2019-07-25
4
A
0
400
0
A
7956.007
D
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 the Dividend Reinvestment Plan.
/s/ Robert E. Klinger
2019-07-25