-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, LOIIE9NWyRGLCOd1ppw6yDFeRNdCOolShayHW+IVGCM1NtTpV3Xo265MyOIsJuCX hAOO/RMNdMHdrxFQCBcVWA== 0000702325-02-000090.txt : 20021202 0000702325-02-000090.hdr.sgml : 20021202 20021202114940 ACCESSION NUMBER: 0000702325-02-000090 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021129 FILED AS OF DATE: 20021202 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: VIANO JANET M CENTRAL INDEX KEY: 0001199248 RELATIONSHIP: OFFICER FILING VALUES: FORM TYPE: 4 MAIL ADDRESS: STREET 1: 300 PARK BLVD STREET 2: SUITE 405 CITY: ITASCA STATE: IL ZIP: 60143 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: FIRST MIDWEST BANCORP INC CENTRAL INDEX KEY: 0000702325 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 363161078 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10967 FILM NUMBER: 02845463 BUSINESS ADDRESS: STREET 1: 300 PARK BLVD SUITE 405 STREET 2: P O BOX 459 CITY: ITASCA STATE: IL ZIP: 60143-0459 BUSINESS PHONE: 7088757450 MAIL ADDRESS: STREET 1: 300 PARK BLVD SUITE 405 STREET 2: P O BOOX 459 CITY: ITASCA STATE: IL ZIP: 60143-0459 4 1 via17.htm STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP - VIANO, JANET SEC Form 4
FORM 4

[ ] Check this box if no longer
subject to Section 16. Form 4 or Form
5 obligations may continue.
See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.  20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility
Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940
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OMB Number: 3235-0287
Expires: January 31, 2005
Estimated average burden
hours per response. . . . . 0.5
1. Name and Address of Reporting Person*
Viano, Janet     M.

(Last)                      (First)                      (Middle)
300 Park Boulevard, Suite 405


(Street)
Itasca, IL     60143

(City)                      (State)                      (Zip)
USA
2. Issuer Name and Ticker
    or Trading Symbol

First Midwest Bancorp, Inc.   FMBI

3. I.R.S. Identification
    Number of Reporting
    Person, if an entity
    (voluntary)
4. Statement for
    (Month/Year)

    November 29, 2002


5. If Amendment,
    Date of Original
    (Month/Year)
6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

                        Director                           10% Owner
           X          Officer                             Other

Officer/Other
Description           EVP, Group President Retail Banking, First Midwest Bank

7. Individual or Joint/Group
    Filing (Check Applicable Line)

X   Individual Filing
      Joint/Group Filing
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security
    (Instr. 3)

2. Transaction Date
    (Month/Day/Year)
3. Transaction
    Code
    and
    Voluntary
    Code
    (Instr. 8)



Code  |  V    
4. Securities Acquired (A) or Disposed (D) Of
    (Instr. 3, 4, and 5)





        Amount      |         A/D         |         Price          
5. Amount of
    Securities
    Beneficially
    Owned at
    End ofMonth

    (Instr. 3 and 4)
6. Owner-
    ship
    Form:
    Direct(D)
    or
    Indirect (I)

    (Instr. 4)
7. Nature of
     Indirect
     Beneficial
     Ownership

    (Instr. 4)
Common Stock


1,990
D

Common Stock


10,207
I
By Profit Sharing Plan Trust







Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).

(over)
SEC 1474 (3-99)

Viano, Janet M. - November 29, 2002
Form 4 (continued)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
    (Instr. 3)
2. Conver-
    sion or
    Exercise
    Price of
    Deri-
    vative
    Security
3. Transaction
    Date

    (Month/
    Day/
    Year)
4. Transaction
    Code
    and
    Voluntary (V)
    Code
    (Instr.8)



Code | V    
5. Number of Derivative
    Securities Acquired (A)
    or Disposed (D) Of

    (Instr. 3,4 and 5)
6. Date Exercisable(DE) and
    Expiration Date(ED)
    (Month/Day/Year)






  (DE)     |     (ED)  
7. Title and Amount of
    Underlying Securities
    (Instr. 3 and 4)
8. Price
    of
    Derivative
    Security
    (Instr.5)
9. Number of
    Derivative
    Securities
    Beneficially
    Owned
    at End of
    Month
    (Instr.4)
10.
Owner-
ship
Form of
Deriv-
ative
Security:
Direct
(D)
or
Indirect
(I)
11. Nature of
      Indirect
      Beneficial
      Ownership
      (Instr.4)
Phantom Stock under NQ Retirement Plan
1-for-1 11/29/2002
   A |     
    (A) 40
Immed. | (1)
Common Stock - 40 $28.39 1,230
D

Non-Qualified Stock Option (right to buy)
$21.70


varies (2) | 02/18/2008
Common Stock - 1,833
1,833
D

Non-Qualified Stock Option (right to buy)
$18.55


varies (3) | 02/17/2009
Common Stock - 2,250
2,250
D

Non-Qualified Stock Option (right to buy)
$18.40


varies (4) | 02/16/2010
Common Stock - 2,128
2,128
D

Non-Qualified Stock Option (right to buy)
$18.88


varies (5) | 05/17/2010
Common Stock - 9,694
9,694
D

Non-Qualified Stock Option (right to buy)
$22.50


varies (6) | 02/21/2011
Common Stock - 10,005
10,005
D

Non-Qualified Stock Option (right to buy)
$28.70


varies (7) | 02/20/2012
Common Stock - 8,625
8,625
D












Explanation of Responses :


** Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
        See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note:   File three copies of this Form, one of which must be manually signed. If space is insufficient,
            See Instruction 6 for procedure.

Potential persons who are to respond to the collection of information contained in this form are not
required to respond unless the form displays a currently valid OMB number.
By: By Barbara E. Briick, Attorney in-fact
________________________________            11-29-2002    
** Signature of Reporting Person                         Date


Power of Attorney

Page 2
SEC 1474 (3-99)

Viano, Janet M. - November 29, 2002
Form 4 (continued)
FOOTNOTE Descriptions for First Midwest Bancorp, Inc. FMBI

Form 4 - November 29, 2002

Janet M. Viano
300 Park Boulevard, Suite 405

Itasca, IL 60143

Explanation of responses:

(1)   Shares of phantom stock are payable in cash following the termination of the reporting person's employment with First Midwest Bancorp, Inc.
(2)   The stock option vests in two equal annual installments beginning on February 18, 2000.
(3)   The stock option vests in two equal annual installments beginning on February 17, 2001.
(4)   The stock option vests in two equal annual installments beginning on February 16, 2002.
(5)   The stock option vests in two equal annual installments beginning on May 17, 2002.
(6)   The stock option vests in two equal annual installments beginning on February 21, 2003.
(7)   The stock option vests in two equal annual installments beginning on February 20, 2004.
Page 3
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