-----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, CXYKThCqTO3XVtnXoIaKhPcwMIr2yReCJoMV+peiAaUN9PAe4lyf0L/F2N48vSsZ d17hTJI8lQgZ/j18nDY9Iw== 0000702325-05-000085.txt : 20050614 0000702325-05-000085.hdr.sgml : 20050613 20050614122125 ACCESSION NUMBER: 0000702325-05-000085 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050613 FILED AS OF DATE: 20050614 DATE AS OF CHANGE: 20050614 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 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: 05894115 BUSINESS ADDRESS: STREET 1: FIRST MIDWEST BANCORP INC STREET 2: 300 PARK BLVD SUITE 400 CITY: ITASCA STATE: IL ZIP: 60143 BUSINESS PHONE: 6308757450 4 1 bea335.xml X0202 4 2005-06-13 0 0000702325 FIRST MIDWEST BANCORP INC FMBI 0001279181 BEAUDRY TERRY G ONE PIERCE PLACE, SUITE 1500 ITASCA IL 60143 0 1 0 0 Group President Trust Phantom Stock under NQ Retirement Plan 2005-06-13 4 A 0 2 34.4600 A Common Stock 2 1167 D Shares of phantom stock in the NQ Retirement Plan have a 1-for-1 conversion ratio. Between May 28, 2005 and June 13, 2005 the reporting person acquired 2 shares of First Midwest common stock under the First Midwest Bancorp, Inc Non-Qualified Retirement Plan. The information in this report is based on a plan statement dated June 10, 2005. 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 25, 2005 and June 13, 2005, the reporting person acquired 8 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 April 19, 2005. By: Donna L. Zodrow, Attorney-in-fact for 2005-06-13 -----END PRIVACY-ENHANCED MESSAGE-----