0001171843-23-000020.txt : 20230103 0001171843-23-000020.hdr.sgml : 20230103 20230103150001 ACCESSION NUMBER: 0001171843-23-000020 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221230 FILED AS OF DATE: 20230103 DATE AS OF CHANGE: 20230103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brumbaugh Kimberly J CENTRAL INDEX KEY: 0001769745 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 23501720 MAIL ADDRESS: STREET 1: 349 UNION STREET 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: 2407 PARK DRIVE CITY: HARRISBURG STATE: PA ZIP: 17110 BUSINESS PHONE: 8666427736 MAIL ADDRESS: STREET 1: 2407 PARK DRIVE CITY: HARRISBURG STATE: PA ZIP: 17110 4 1 ownership.xml X0306 4 2022-12-30 0 0000879635 MID PENN BANCORP INC MPB 0001769745 Brumbaugh Kimberly J 2407 PARK DR. HARRISBURG PA 17110 1 0 0 0 Mid Penn Bancorp, Inc. Common Stock 2022-12-30 4 P 0 83 29.97 A 3703.566 D Mid Penn Bancorp, Inc. Common Stock 1045 I IRA Mid Penn Bancorp, Inc. Common Stock 1133 D Shares purchased through the Director Stock Purchase Plan. Balance includes shares acquired through the Dividend Reinvestment Plan. Reflects the elimination of 0.278 fractional shares in connection with a change in custodian. Shares granted in the form of restricted stock, which vests 100% on the first anniversary of the date of grant. /s/ Kimberly J. Brumbaugh 2023-01-03