-----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, EXM9P6FSlhbGfXVukgBZAfsR7jh6N2vVujGsG+sV661SUfD4ivaTsmvhNTGC7v/7 oby/sYQqe1ZQsRRz0/eRhQ== 0000702325-04-000155.txt : 20041018 0000702325-04-000155.hdr.sgml : 20041018 20041018150604 ACCESSION NUMBER: 0000702325-04-000155 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041015 FILED AS OF DATE: 20041018 DATE AS OF CHANGE: 20041018 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRUNNER VERNON A CENTRAL INDEX KEY: 0001199253 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10967 FILM NUMBER: 041083063 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 bru241.xml X0202 4 2004-10-15 0 0000702325 FIRST MIDWEST BANCORP INC FMBI 0001199253 BRUNNER VERNON A 300 PARK BOULEVARD, SUITE 405 ITASCA IL 60143 1 0 0 0 Phantom Stock under NQ Deferred Comp. Plan 0.0000 2004-10-15 4 A 0 259 34.6772 A Common Stock 259 6566 D Shares of phantom stock in the NQ Deferred Compensation Plan have a 1-for-1 conversion ratio. Between July 16, 2004 and October 18, 2004 the reporting person acquired 259 shares of First Midwest common stock under the First Midwest Bancorp, Inc Non-Qualified Deferred Compensation Plan. The information in this report is based on a plan statement dated October 15, 2004. 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 July 17, 2004 and October 18, 2004 the reporting person acquired 37 shares of First Midwest common stock pursuant to the dividend reinvestment feature under the First Midwest Bancorp, Inc. Non-Qualified Deferred Compensation Plan. The information in this report is based on a plan statement dated July 20, 2004. By: Andrea L. Stangl, Attorney-in-fact for 2004-10-18 -----END PRIVACY-ENHANCED MESSAGE-----