0001171843-19-004863.txt : 20190725
0001171843-19-004863.hdr.sgml : 20190725
20190725092732
ACCESSION NUMBER: 0001171843-19-004863
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: Paese Joseph L
CENTRAL INDEX KEY: 0001672207
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13677
FILM NUMBER: 19972802
MAIL ADDRESS:
STREET 1: 1416 FARMHOUSE LANE
CITY: MIDDLETOWN
STATE: PA
ZIP: 17057
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
0001672207
Paese Joseph L
1416 FARMHOUSE LANE
MIDDLETOWN
PA
17057
0
1
0
0
EVP, Dir. Trust, Wealth Mgmt
Mid Penn Bancorp, Inc. Common Stock
2019-07-25
4
A
0
500
0
A
3000
D
Mid Penn Bancorp, Inc. Common Stock
2125.8545
I
IRA
Shares granted in the form of restricted stock, which vests, subject to acceleration upon certain occurrences, 25% on each anniversary of the date of grant (each, a "vesting tranche"), but only if such reporting person remains continuously employed through the applicable anniversary date.
Balance includes shares granted in the form of restricted stock.
Balance includes shares acquired through Dividend Reinvestment Plan.
/s/ Joseph L. Paese
2019-07-25