-----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, Qo6n7E7P2okrq+Hq9ISyc68Ac3VetfFj4nwxXzaW1K+TdCqfPSXuCFvkkEWDxXbj a1AGHXOervoK7BRJ3BCgYg== 0000702325-04-000004.txt : 20040120 0000702325-04-000004.hdr.sgml : 20040119 20040120144747 ACCESSION NUMBER: 0000702325-04-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040115 FILED AS OF DATE: 20040120 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: EDWARDS O RALPH CENTRAL INDEX KEY: 0001199256 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10967 FILM NUMBER: 04532328 MAIL ADDRESS: STREET 1: 300 PARK BLVD STREET 2: SUITE 405 CITY: ITASCA STATE: IL ZIP: 60143 ISSUER: 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 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 edw100.xml X0201 4 2004-01-15 0 0000702325 FIRST MIDWEST BANCORP INC FMBI 0001199256 EDWARDS O RALPH 300 PARK BOULEVARD, SUITE 405 ITASCA IL 60143 1 0 0 0 Common Stock 6901 D Phantom Stock under NQ Deferred Comp. Plan 0.0000 2004-01-15 4 A 0 286 32.3300 A Common Stock 286 7258 D Non-Qualified Stock Option (right to buy) 20.1334 1998-11-19 2007-11-19 Common Stock 1594 1594 D Non-Qualified Stock Option (right to buy) 21.7000 1999-02-18 2008-02-18 Common Stock 854 854 D Non-Qualified Stock Option (right to buy) 18.5500 2000-02-17 2009-02-17 Common Stock 998 998 D Non-Qualified Stock Option (right to buy) 18.4000 2001-02-16 2010-02-16 Common Stock 1005 1005 D Non-Qualified Stock Option (right to buy) 18.8750 2001-05-17 2010-05-17 Common Stock 2011 2011 D Non-Qualified Stock Option (right to buy) 22.5000 2002-02-21 2011-02-21 Common Stock 2500 2500 D Non-Qualified Stock Option (right to buy) 28.6950 2003-02-20 2012-02-20 Common Stock 2215 2215 D Non-Qualified Stock Option (right to buy) 26.2550 2004-02-19 2013-02-19 Common Stock 2342 2342 D Between July 23, 2003 and January 15, 2004 the reporting person acquired 19 shares of First Midwest common stock under the First Midwest Bancorp, Inc. Dividend Reinvestment Plan. The information in this report is based on a plan statement dated October 21, 2003. Shares of phantom stock in the NQ Deferred Compensation Plan have a 1-for-1 conversion ratio. Shares of phantom stock in the NQ Deferred Compensation Plan are exercisable immediately. Shares of phantom stock in the NQ Deferred Compensation Plan are payable in cash following the termination of the reporting person's services as a director of First Midwest Bancorp, Inc. Between October 16, 2003 and January 15, 2004 the reporting person acquired 40 shares of First Midwest common stock pursuant to the dividend reinvestment feature under the First Midwest Bancorp, Inc. NQ Deferred Compensation Plan. The information in this report is based on a plan statement dated October 28, 2003. By: Andrea L. Stangl, Attorney-in-fact for 2004-01-20 -----END PRIVACY-ENHANCED MESSAGE-----