0001667731-16-000021.txt : 20160621 0001667731-16-000021.hdr.sgml : 20160621 20160621135107 ACCESSION NUMBER: 0001667731-16-000021 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160620 FILED AS OF DATE: 20160621 DATE AS OF CHANGE: 20160621 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: Noone John E CENTRAL INDEX KEY: 0001557321 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13677 FILM NUMBER: 161724017 MAIL ADDRESS: STREET 1: 2019 MOUNTAIN PINE DRIVE CITY: MECHANICSBURG STATE: PA ZIP: 17050 4 1 johnnoone062116.xml X0306 4 2016-06-20 0 0000879635 MID PENN BANCORP INC MPB 0001557321 Noone John E 2019 MOUNTAIN PINE DRIVE MECHANICSBURG PA 17050 1 0 0 0 Mid Penn Bancorp, Inc. Common Stock 2016-06-20 4 P 0 400 15.65 A 19300 I By John E. Noone Trust Mid Penn Bancorp, Inc. Common Stock 2016-06-21 4 P 0 1000 15.65 A 20300 I By John E. Noone Trust /s/ John E. Noone 2016-06-21