-----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, PgRLkfNHJyEXrZJat4BH0JCT+zjzVwqT3qqaHuidy0SBflEbckQ3WLmEiR3rLGf7 iaswWkRExPy+I1IwefOf7Q== 0000702325-04-000056.txt : 20040323 0000702325-04-000056.hdr.sgml : 20040323 20040323153308 ACCESSION NUMBER: 0000702325-04-000056 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040319 FILED AS OF DATE: 20040323 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BEAUDRY TERRY G CENTRAL INDEX KEY: 0001279181 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10967 FILM NUMBER: 04684987 BUSINESS ADDRESS: STREET 1: FIRST MIDWEST BANCORP INC STREET 2: 300 PARK BLVD SUITE 400 CITY: ITASCA STATE: IL ZIP: 60143 BUSINESS PHONE: 6308757450 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 bea150.xml X0201 4 2004-03-19 0 0000702325 FIRST MIDWEST BANCORP INC FMBI 0001279181 BEAUDRY TERRY G 300 PARK BOULEVARD, SUITE 405 ITASCA IL 60143 0 1 0 0 Group President Trust Common Stock 663 D Common Stock 12232 I By Profit Sharing Plan Trust Phantom Stock under NQ Retirement Plan 0.0000 2004-03-19 4 A 0 2 33.6700 A Common Stock 2 909 D Non-Qualified Stock Option (right to buy) 21.7000 2008-02-18 Common Stock 2373 2373 D Non-Qualified Stock Option (right to buy) 21.8334 2009-08-18 Common Stock 2721 2721 D Non-Qualified Stock Option (right to buy) 22.5000 2011-02-21 Common Stock 8234 8234 D Non-Qualified Stock Option (right to buy) 28.6950 2012-02-20 Common Stock 6939 6939 D Non-Qualified Stock Option (right to buy) 26.2550 2013-02-19 Common Stock 8190 8190 D Non-Qualified Stock Option (right to buy) 32.7150 2014-02-24 Common Stock 6832 6832 D Between March 6, 2004 and March 22, 2004 the reporting person acquired 18 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 March 9, 2004. 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. Shares of phantom stock in the NQ Retirement Plan are exercisable immediately. Shares of phantom stock in the NQ Retirement Plan have a 1-for-1 conversion ratio. 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 August 18, 2001. 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. The stock option vests in two equal annual installments beginning on February 24, 2006. By: Andrea L. Stangl, Attorney-in-fact for 2004-03-22 -----END PRIVACY-ENHANCED MESSAGE-----