-----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, EDH36vSrRHXQiYwZEDT2Tqfe2Ih1hteqryVJHqdxdZGO/AJSaa3whrQiqfqGoJc6 CXz2XcJp7EMWIweWdzZkuA== 0000702325-10-000206.txt : 20101109 0000702325-10-000206.hdr.sgml : 20101109 20101109181913 ACCESSION NUMBER: 0000702325-10-000206 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101105 FILED AS OF DATE: 20101109 DATE AS OF CHANGE: 20101109 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: 101177605 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 primary_doc.xml PRIMARY DOCUMENT X0303 4 2010-11-05 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 Common Stock 2010-11-05 4 A 0 166 A 32877 D Common Stock 2002 I By IRA Common Stock 292 I By Profit Sharing Plan Trust Phantom Stock under NQ Retirement Plan 2010-11-05 4 A 0 90 11.3376 A Common Stock 90 918 D Represents a portion of base salary paid to the Reporting Person in bi-weekly installments of fully vested shares. The Reporting Person may not transfer the shares during the period the Company has any obligations outstanding under the U.S. Treasury's Troubled Asset Relief Program except in the case of the Reporting Person's death or disability. The number of shares represented by this award was determined by dividing the dollar value of the award granted to the Reporting Person by $11.10 (the average high and low sale price of one share of the company's common stock as quoted on the Nasdaq Stock Market on November 4, 2010). 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. The Reporting Person acquired 90 shares of First Midwest Bancorp, Inc. Common Stock under the First Midwest Bancorp, Inc. Nonqualified Retirement Plan through an employee contribution. The information in this report is based on a plan statement dated November 5, 2010. Andrea L. Stangl, Attorney-in-fact for Paul F. Clemens 2010-11-09 -----END PRIVACY-ENHANCED MESSAGE-----