0001171843-20-000819.txt : 20200210
0001171843-20-000819.hdr.sgml : 20200210
20200210094808
ACCESSION NUMBER: 0001171843-20-000819
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200206
FILED AS OF DATE: 20200210
DATE AS OF CHANGE: 20200210
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MOWERY THEODORE W
CENTRAL INDEX KEY: 0001278504
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13677
FILM NUMBER: 20589991
MAIL ADDRESS:
STREET 1: 841 WYNNEWOOD ROAD
CITY: CAMP HILL
STATE: PA
ZIP: 17011
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
2020-02-06
0
0000879635
MID PENN BANCORP INC
MPB
0001278504
MOWERY THEODORE W
129 SOUTH LEWISBERRY ROAD
MECHANICSBURG
PA
17055
1
0
0
0
Mid Penn Bancorp, Inc. Common Stock
2020-02-06
4
P
0
56
25.10
A
8724.814
D
Mid Penn Bancorp, Inc. Common Stock
2020-02-07
4
P
0
1000
24.83
A
9724.814
D
Mid Penn Bancorp, Inc. Common Stock
7033.215
I
IRA
Mid Penn Bancorp, Inc. Common Stock
400
D
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/ Theodore W. Mowery
2020-02-10