-----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, ExaPO8DEwwT8ldQ5xxT0WOWvcI648rFL03a+aN0MxP36Rp9vbT3EIHMeH4nnqSX5 oo4aFd+H/nq/ByyRLf7BPg== 0000702325-05-000126.txt : 20050902 0000702325-05-000126.hdr.sgml : 20050902 20050902155753 ACCESSION NUMBER: 0000702325-05-000126 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050831 FILED AS OF DATE: 20050902 DATE AS OF CHANGE: 20050902 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KENT S BELASCO CENTRAL INDEX KEY: 0001279182 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10967 FILM NUMBER: 051068012 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: ONE PIERCE PLACE STREET 2: SUITE 1500 CITY: ITASCA STATE: IL ZIP: 60143 BUSINESS PHONE: 6308757450 MAIL ADDRESS: STREET 1: ONE PIERCE PLACE STREET 2: SUITE 1500 CITY: ITASCA STATE: IL ZIP: 60143 4 1 bel361.xml X0202 4 2005-08-31 0 0000702325 FIRST MIDWEST BANCORP INC FMBI 0001279182 KENT S BELASCO ONE PIERCE PLACE, SUITE 1500 ITASCA IL 60143 0 1 0 0 EVP, Chief Information Officer Common Stock 2005-08-31 4 M 0 516 35.1300 A 2156 D Common Stock 2005-08-31 4 S 0 516 37.6000 D 1640 D Common Stock 19367 I By NQ Stock Option Gain Deferral Plan Tr Common Stock 3889 I By Profit Sharing Plan Trust Non-Qualified Stock Option (right to buy) 35.1300 2005-08-31 4 M 0 516 0 D 2005-04-29 2006-02-21 Common Stock 516 0 D Between November 2, 2004 and September 2, 2005 the reporting person acquired 406 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 July 19, 2005. Between November 2, 2004 and September 2, 2005 the reporting person acquired 88 shares of First Midwest common stock pursuant to the dividend reinvestment feature under the First Midwest Bancorp, Inc. Savings and Profit Sharing Plan. The information in this report is based on a plan statement dated July 22, 2005. Between November 2, 2004 and September 2, 2005 the reporting person acquired 181 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 August 24, 2005. By: Andrea L. Stangl, Attorney-in-fact for 2005-09-02 -----END PRIVACY-ENHANCED MESSAGE-----