-----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, BdF3elNEzQaIJXkbt0jtAhCTbfMvtBJzgL/38h17bW3Blul5sjObO54zFYafqHN+ NKpgfL3HHIwYMbkKLLieRA== 0000702325-09-000062.txt : 20090526 0000702325-09-000062.hdr.sgml : 20090525 20090526180643 ACCESSION NUMBER: 0000702325-09-000062 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090521 FILED AS OF DATE: 20090526 DATE AS OF CHANGE: 20090526 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: 09852809 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 bel800.xml X0303 4 2009-05-21 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 2009-05-21 4 F 0 125 8.4650 D 15240 D Common Stock 27883 I By NQ Stock Option Gain Deferral Plan Common Stock 5570 I By Profit Sharing Plan Trust On May 21, 2008 the Issuer granted the Reporting Person a Restricted Stock Award (RSA) of 846 restricted shares of First Midwest Bancorp, Inc. Common Stock under the First Midwest Bancorp, Inc. Omnibus Stock Incentive Plan (Plan) which were scheduled to vest in two equal annual installments on the first and second anniversary of the date of grant. On May 21, 2009, 423 shares of the originally granted RSAs vested, of which 125 shares were surrendered by the Reporting Person in order to satisfy tax withholding obligations. This form is being filed to reflect the surrender of such shares to satisfy the Reporting Person?s tax withholding obligation. By: Andrea L. Stangl, Attorney-in-fact for Kent S. Belasco 2009-05-26 -----END PRIVACY-ENHANCED MESSAGE-----