MID PENN BANCORP INC — Director's Dealing 2021

Jan 29, 2021

SEC Form 5 — Annual Statement of Changes in Beneficial Ownership

Issuer: MID PENN BANCORP INC (MPB)
CIK: 0000879635
Period of Report: 2020-12-31

Reporting Person: SPARKS DAVID E (Director)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2020-12-24	Mid Penn Bancorp, Inc. Common Stock	G	1000	$0.00	Disposed	67842	Direct
2020-12-24	Mid Penn Bancorp, Inc. Common Stock	G	1000	$0.00	Acquired	6062	Indirect

Holdings (Non-Derivative)

Security	Shares	Ownership
Mid Penn Bancorp, Inc. Common Stock	500	Direct
Mid Penn Bancorp, Inc. Common Stock	10572	Indirect
Mid Penn Bancorp, Inc. Common Stock	25901	Indirect

Footnotes

F1: The reported transaction involves a transfer of securities by gift for which no payment of consideration was received by the reported person.

F2: The reported transaction involves a transfer of securities by gift for which no consideration was paid.

F3: Shares granted in the form of restricted stock, which vests 100% on the first anniversary of the date of grant.