-----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, SD2SwA8Z9JdDAEDmjFpN5K4l/MWbAFyvAuSSwSXxgGHKkQRQijyUKOaSMGGPSbVo v4ybQ9ojkhvFQQQxlMIOkw== 0000702325-09-000001.txt : 20090102 0000702325-09-000001.hdr.sgml : 20090101 20090102144250 ACCESSION NUMBER: 0000702325-09-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20081231 FILED AS OF DATE: 20090102 DATE AS OF CHANGE: 20090102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Clemens Paul F CENTRAL INDEX KEY: 0001390393 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10967 FILM NUMBER: 09501258 BUSINESS ADDRESS: BUSINESS PHONE: 630 875 7450 MAIL ADDRESS: STREET 1: ONE PIERCE PLACE, SUITE 1500 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: 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 cle757.xml X0303 4 2008-12-31 0 0000702325 FIRST MIDWEST BANCORP INC FMBI 0001390393 Clemens Paul F ONE PIERCE PLACE, SUITE 1500 ITASCA IL 60143 0 1 0 0 EVP, Chief Financial Officer Phantom Stock under NQ Retirement Plan 2008-12-31 4 A 0 305 19.4900 A Common Stock 305 305 D Shares of phantom stock acquired under the Nonqualified Retirement Plan have a 1-for-1 conversion ratio and are payable in cash following the termination of the Reporting Person's employment with First Midwest Bancorp, Inc. The Reporting Person acquired 305 shares of First Midwest Bancorp, Inc. Common Stock under the First Midwest Bancorp, Inc. Nonqualified Retirement Plan through an annual employer contribution. The information in this report is based on a plan statement dated December 31, 2008. By: Andrea L. Stangl, Attorney-in-fact for Paul F. Clemens 2009-01-02 -----END PRIVACY-ENHANCED MESSAGE-----