0001593968-19-002124.txt : 20191113
0001593968-19-002124.hdr.sgml : 20191113
20191113171910
ACCESSION NUMBER: 0001593968-19-002124
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20191111
FILED AS OF DATE: 20191113
DATE AS OF CHANGE: 20191113
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tucker Douglas J.
CENTRAL INDEX KEY: 0001526236
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35272
FILM NUMBER: 191215291
MAIL ADDRESS:
STREET 1: MIDLAND STATES BANCORP, INC.
STREET 2: 133 WEST JEFFERSON AVENUE
CITY: EFFINGHAM
STATE: IL
ZIP: 62401
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Midland States Bancorp, Inc.
CENTRAL INDEX KEY: 0001466026
STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022]
IRS NUMBER: 371233196
STATE OF INCORPORATION: IL
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1201 NETWORK CENTRE DRIVE
CITY: EFFINGHAM
STATE: IL
ZIP: 62401
BUSINESS PHONE: (217) 342-2141
MAIL ADDRESS:
STREET 1: 1201 NETWORK CENTRE DRIVE
CITY: EFFINGHAM
STATE: IL
ZIP: 62401
4
1
primary_01.xml
PRIMARY DOCUMENT
X0306
4
2019-11-11
0001466026
Midland States Bancorp, Inc.
MSBI
0001526236
Tucker Douglas J.
1201 NETWORK CENTRE DR.
EFFINGHAM
IL
62401
false
true
false
false
SVP Corporate Counsel
Common Stock
2019-11-11
4
M
false
5899
16.59
A
34077
D
Option (right to buy)
16.59
2019-11-11
4
M
false
5899
0
D
2023-12-10
Common Stock
5899
0
D
Option (right to buy)
23
2025-11-03
Common Stock
11566
11566
D
Option (right to buy)
21
2024-12-02
Common Stock
7153
7153
D
Option (right to buy)
18
2024-08-05
Common Stock
40000
40000
D
Option (right to buy)
28.59
2026-11-16
Common Stock
5405
5405
D
This Form 4 is being filed to reflect that the disposition of 5,899 shares reflected on the last Form 4 filed by the Reporting Person resulted from the exercise of the 5,899 stock options and related acquisition of 5,899 shares shown above.
These options vest in three equal annual installments beginning one year after the 12/10/2013 date of grant.
These options vest in four equal annual installments beginning one year after the 11/03/2015 date of grant.
These options vest in four equal annual installments beginning one year after the 12/02/2014 date of grant.
Options vested on 12/31/2017.
These options vest in four equal annual installments beginning one year after the 11/16/2016 date of grant.
/s/ Tucker Douglas J
2019-11-13
/s/ Douglas J. Tucker, attorney-in-fact
2019-11-13
EX-24
2
dougtucker.txt
EX-24 DOCUMENT
POWER OF ATTORNEY - SECTION 16 FILINGS
Know all by these presents, that the undersigned hereby constitutes and
appoints each of Douglas
J. Tucker and Sarah Leonard as the undersigned's true and lawful
attorney-in-fact to:
(1) prepare, execute for and on behalf of the undersigned, and
submit to the United States Securities and Exchange Commission (the
"Commission") a Form ID, including amendments thereto, and any other
documents necessary or appropriate to obtain codes and passwords enabling
the undersigned to make electronic filings with the Commission of reports
required by Section 16(a) of the Securities Exchange Act of 1934, as
amended (the "Exchange Act"), or any rule or regulation of the SEC;
(2) execute for and on behalf of the undersigned, in the
undersigned's capacity as a reporting person of Midland States Bancorp,
Inc. (the "Company") pursuant to Section 16 of the Exchange Act and the
rules thereunder, Forms 3, 4 and 5 in accordance with Section 16(a) of the
Exchange Act and the rules thereunder;
(3) do and perform any and all acts for and on behalf of the
undersigned which may be necessary or desirable to complete and execute any
such Form 3, 4 or 5, complete and execute any amendment or amendments
thereto and file such fonn with the Commission and the applicable stock
exchange or similar authority; and
(4) take any other action of any type whatsoever in connection with
the foregoing which, in the opinion of any of such attorneys-in-fact, may
be of benefit to, in the best interest of, or legally required by, the
undersigned, it being understood that the documents executed by any of such
attorneys in-fact on behalf of the undersigned pursuant to this Power of
Attorney shall be in such form and shall contain such terms and conditions
as any of such attorneys-in-fact may approve in his or her discretion.
The undersigned hereby grants to each such attorney-in-fact full
power and authority to act separately and to do and perform any and every
act and thing whatsoever requisite, necessary, or proper to be done in the
exercise of any of the rights and powers herein granted, as fully to all
intents and purposes as the undersigned might or could do if personally
present, with full power of substitution or revocation, hereby ratifying
and confirming all that any of such attorneys-in-fact, or the substitute or
substitutes of any of such attorneys-in-fact, shall lawfully do or cause to
be done by virtue of this Power of Attorney and the rights and powers
herein granted. The undersigned acknowledges that the foregoing
attorneys-in-fact, in serving in such capacity at the request of the
undersigned, are not assuming, nor is the Company assuming, any of the
undersigned's responsibilities to comply with Section 16 of the Exchange
Act.
This Power of Attorney shall remain in full force and effect until
the undersigned is no longer required to file Forms 3, 4 and 5 with respect
to the undersigned's holdings of and transactions in securities issued
by the Company, unless earlier revoked by the undersigned in a signed
writing delivered to the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to
be executed as
of this 2nd day of February, 2016
/s/Doug Tucker
Signature
1 160464.vl