-----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, OeiaKHJ7nQGSY3TTJnF+UrhvRHEvIOvG/zgj0I84T3jJkP94dIvOL31N5LKO6bOY NMKC0SQJLK9C7/7DBpV2dA== 0000702325-04-000033.txt : 20040226 0000702325-04-000033.hdr.sgml : 20040226 20040226193341 ACCESSION NUMBER: 0000702325-04-000033 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040224 FILED AS OF DATE: 20040226 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCHWARTZ THOMAS J CENTRAL INDEX KEY: 0001199247 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10967 FILM NUMBER: 04632232 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 sch141.xml X0201 4 2004-02-24 0 0000702325 FIRST MIDWEST BANCORP INC FMBI 0001199247 SCHWARTZ THOMAS J 300 PARK BOULEVARD, SUITE 405 ITASCA IL 60143 0 1 0 0 EVP Group Pres. Cmm'l Bnk, FMB Common Stock 30883 D Common Stock 657 I By Custodian For Child Common Stock 48346 I By NQ Stock Option Gain Deferral Plan Tr Common Stock 820 I By Profit Sharing Plan Trust Non-Qualified Stock Option (right to buy) 32.7150 2004-02-24 4 A 0 15601 0 A 2014-02-24 Common Stock 15601 15601 D Non-Qualified Stock Option (right to buy) 27.6100 2003-01-17 2003-02-17 Common Stock 1222 1222 D Non-Qualified Stock Option (right to buy) 10.7734 2005-02-15 Common Stock 3459 3459 D Non-Qualified Stock Option (right to buy) 12.1600 2006-02-21 Common Stock 3233 3233 D Non-Qualified Stock Option (right to buy) 17.1000 2007-02-19 Common Stock 2420 2420 D Non-Qualified Stock Option (right to buy) 21.7000 2008-02-18 Common Stock 2289 2289 D Non-Qualified Stock Option (right to buy) 18.5500 2009-02-17 Common Stock 2785 2785 D Non-Qualified Stock Option (right to buy) 21.8334 2009-08-18 Common Stock 1606 1606 D Non-Qualified Stock Option (right to buy) 18.4000 2010-02-16 Common Stock 6455 6455 D Non-Qualified Stock Option (right to buy) 22.5000 2011-02-21 Common Stock 6231 6231 D Non-Qualified Stock Option (right to buy) 28.6950 2012-02-20 Common Stock 15304 15304 D Non-Qualified Stock Option (right to buy) 26.2550 2013-02-19 Common Stock 18168 18168 D Non-Qualified Stock Option(right to buy) 32.1950 2004-01-16 2004-02-16 Common Stock 1093 1093 D Phantom Stock under NQ Retirement Plan 0.0000 Common Stock 13499 13499 D Between October 22, 2003 and February 24, 2004 the reporting person acquired 124 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 January 22, 2004. Between October 22, 2003 and February 24, 2004 the reporting person acquired 3 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 January 22, 2004. Between January 20, 2004 and February 24, 2004 the reporting person acquired 329 shares of First Midwest common stock pursuant to the dividend reinvestment feature under the First Midwest Bancorp, Inc. Non-Qualified Gain Deferral Plan. The information in this report is based on a plan statement dated January 26, 2004. Between January 20, 2004 and February 24, 2004 the reporting person acquired 5 shares of First Midwest Bancorp, Inc. common stock under the First Midwest Bancorp, Inc. Savings and Profit Sharing Plan. The information in this report is based on a plan statement dated January 28, 2004 The stock option vests in two equal annual installments beginning on February 24, 2006. The stock option vests in two equal annual installments beginning on February 15, 1997. The stock option vests in two equal annual installments beginning on February 21, 1998. The stock option vests in two equal annual installments beginning on February 19, 1999. The stock option vests in two equal annual installments beginning on February 18, 2000. The stock option vests in two equal annual installments beginning on February 17, 2001. The stock option vests in two equal annual installments beginning on August 18, 2001. The stock option vests in two equal annual installments beginning on February 16, 2002. The stock option vests in two equal annual installments beginning on February 21, 2003. The stock option vests in two equal annual installments beginning on February 20, 2004. The stock option vests in two equal annual installments beginning on February 19, 2005. Shares of phantom stock in the NQ Retirement Plan have a 1-for-1 conversion ratio. Shares of phantom stock in the NQ Retirement Plan are exercisable immediately. Shares of phantom stock in the NQ Retirement Plan are payable in cash following the termination of the reporting person's employment with First Midwest Bancorp, Inc. Between January 20, 2004 and February 24, 2004 the reporting person acquired 91 shares of First Midwest common stock pursuant to the dividend reinvestment feature under the First Midwest Bancorp, Inc. Non-Qualified Retirement Plan. The information in this report is based on a plan statement dated January 26, 2004. By: Andrea L. Stangl, Attorney-in-fact for 2004-02-26 -----END PRIVACY-ENHANCED MESSAGE-----