0001667731-16-000011.txt : 20160614 0001667731-16-000011.hdr.sgml : 20160614 20160614144857 ACCESSION NUMBER: 0001667731-16-000011 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160614 FILED AS OF DATE: 20160614 DATE AS OF CHANGE: 20160614 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 ST CITY: MILLERSBURG STATE: PA ZIP: 17061 BUSINESS PHONE: 7176922133 MAIL ADDRESS: STREET 1: 349 UNION STREET STREET 2: 349 UNION STREET CITY: MILLERSBURG STATE: PA ZIP: 17061 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: 161712803 MAIL ADDRESS: STREET 1: 1416 FARMHOUSE LANE CITY: MIDDLETOWN STATE: PA ZIP: 17057 4 1 joepaese061416.xml X0306 4 2016-06-14 0 0000879635 MID PENN BANCORP INC MPB 0001672207 Paese Joseph L 1416 FARMHOUSE LANE MIDDLETOWN PA 17057 0 1 0 0 EVP; Dir of Trust, Wealth Mgmt Mid Penn Bancorp, Inc. Common Stock 2016-06-14 4 P 0 500 15.765 A 500 I IRA Mid Penn Bancorp, Inc. Common Stock 2016-06-14 4 P 0 100 15.7798 A 600 I IRA Mid Penn Bancorp, Inc. Common Stock 2016-06-14 4 P 0 400 15.7875 A 1000 I IRA /s/ Joseph L. Paese 2016-06-14