-----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, A4+0KqIuUcKKziH36QT/BG2qObOC0hQEsFbowKg80LrGBwTnKmGx6n35dVOegB8z eZIcdPzUSV+9+qUW1yLQjw== 0000702325-07-000055.txt : 20070514 0000702325-07-000055.hdr.sgml : 20070514 20070514132947 ACCESSION NUMBER: 0000702325-07-000055 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070511 FILED AS OF DATE: 20070514 DATE AS OF CHANGE: 20070514 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 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: 07845294 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 bel563.xml X0202 4 2007-05-11 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 Phantom Stock under NQ Retirement Plan 2007-05-11 4 A 0 2 37.0400 A Common Stock 2 1549 D Shares of phantom stock in the NQ Retirement Plan have a 1-for-1 conversion ratio. Between May 1, 2007 and May 14, 2007 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 May 11, 2007. 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. By: Andrea L. Stangl, Attorney-in-fact 2007-05-14 -----END PRIVACY-ENHANCED MESSAGE-----