-----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, Vd83jTlfJJY84+qSzsb2Fewbg8/JnSTx6y9xMY1mW1CFRg/vEmb0ed971rRT0Lfj EX7Iz4TRCgqaCNqqUDvYaw== 0000702325-09-000114.txt : 20091208 0000702325-09-000114.hdr.sgml : 20091208 20091208180842 ACCESSION NUMBER: 0000702325-09-000114 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091204 FILED AS OF DATE: 20091208 DATE AS OF CHANGE: 20091208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kullander David D CENTRAL INDEX KEY: 0001464492 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10967 FILM NUMBER: 091229639 MAIL ADDRESS: STREET 1: ONE PIERCE PLACE STREET 2: 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 primary_doc.xml PRIMARY DOCUMENT X0303 4 2009-12-04 0 0000702325 FIRST MIDWEST BANCORP INC FMBI 0001464492 Kullander David D ONE PIERCE PLACE SUITE 1500 ITASCA IL 60143 0 1 0 0 EVP, Bank Operations Director Phantom Stock under NQ Retirement Plan 2009-12-04 4 A 0 76 10.8718 A Common Stock 76 1136 D Shares of phantom stock acquired under the Nonqualified Retirement Plan have a 1-for-1 conversion ratio and are payable in cash upon distribution to the Participant in accordance with the terms of the Plan. Between November 25, 2009 and December 8, 2009 the Reporting Person acquired 76 shares of First Midwest Bancorp, Inc. Common Stock under the First Midwest Bancorp, Inc. Nonqualified Retirement Plan through the bi-weekly employee contribution feature of the Plan. The information in this report is based on a plan statement dated December 4, 2009. Andrea L. Stangl, Attorney-in-fact for David D. Kullander 2009-12-08 -----END PRIVACY-ENHANCED MESSAGE-----