SEC Form 4 · accession 0001171843-16-007654
MID PENN BANCORP INC · MPB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William A Specht III
Director
Period of report
Feb 3, 2016
Accepted (ET)
Feb 4, 2016 · 1:57 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000879635
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Mid Penn Bancorp, Inc. Common StockF1 | Feb 3, 2016 | A | 4 | — | A | 3,405 | D | |
| Mid Penn Bancorp, Inc. Common Stock | holding | — | — | — | 2,135 | I | IRA | |
| Mid Penn Bancorp, Inc. Common StockF2 | holding | — | — | — | 31,210 | I | Transfer of voting rights |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Pursuant to the delivery of a transmittal letter to the issuer's agent on February 3, 2016, the reporting person's spouse received 4 shares of the issuer's common stock in exchange for her holdings of shares of Phoenix Bancorp, Inc., which were deposited into a joint account held by the reporting person and his spouse.
- F2William A. Specht, Jr. and Janet E. Specht, the parents of William A. Specht, III have transferred the voting rights of their Mid Penn Bancorp, Inc. stock to him; therefore, William A. Specht, III will retain beneficial ownership of the shares for reporting purposes.