0001104659-16-161733.txt : 20161212 0001104659-16-161733.hdr.sgml : 20161212 20161212205539 ACCESSION NUMBER: 0001104659-16-161733 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20161208 FILED AS OF DATE: 20161212 DATE AS OF CHANGE: 20161212 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: Newcom Jeff C CENTRAL INDEX KEY: 0001689930 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10967 FILM NUMBER: 162047467 MAIL ADDRESS: STREET 1: ONE PIERCE PLACE STREET 2: SUITE 1500 CITY: ITASCA STATE: IL ZIP: 60143 4 1 a4.xml 4 X0306 4 2016-12-08 0 0000702325 FIRST MIDWEST BANCORP INC FMBI 0001689930 Newcom Jeff C ONE PIERCE PLACE, SUITE 1500 ITASCA IL 60143 0 1 0 0 EVP and Chief Risk Officer Common 2016-12-08 4 A 0 3088 A 3088 D Common 2016-12-08 4 A 0 4117 A 4117 D Restricted stock award granted pursuant to the Amended and Restated First Midwest Bancorp, Inc. Omnibus Stock and Incentive Plan. The number of shares represented by this award was determined by dividing the dollar value of the award granted to the Reporting Person by $24.29 (the average high and low sale price of one share of the Company's common stock on the date of grant). This award will vest in full on the 6 month anniversary from the date of grant. The number of shares represented by this award was determined by dividing the dollar value of the award granted to the Reporting Person by $24.29 (the average high and low sale price of one share of the Company's common stock on the date of grant). This award will vest in 2 equal installments, 50% on the first anniversary from the date of grant and the remaining 50% on the second anniversary from the date of grant. Exhibit List - Power of Attorney /s/ Andrea L. Stangl, Attorney-in-fact for Jeff C. Newcom 2016-12-12 EX-24 2 ex-24.htm EX-24

EXHIBIT 24

 

FORM

OF

POWER OF ATTORNEY

 

KNOW ALL PERSONS BY THESE PRESENTS, that the undersigned hereby constitutes and appoints Nicholas J. Chulos, Executive Vice President, Corporate Secretary and General Counsel, Steven C. Babinski, Vice President and Assistant General Counsel or Andrea L. Stangl, Assistant Corporate Secretary, of First Midwest Bancorp, Inc. (the “Company”), and each of them acting and signing singly and each with the power to appoint his or her substitute, the undersigned’s true and lawful attorney-in-fact to:

 

(1)

 

execute for and on behalf of the undersigned, in the undersigned’s capacity as an officer and/or director of the Company or First Midwest Bank, Forms 3, 4 and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules and regulations thereunder and Forms 144 in accordance with Rule 144 under the Securities Act of 1933;

 

 

 

(2)

 

do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4, 5 or 144, complete and execute any amendment or amendments thereto, and timely file such form or amendment with the United States Securities and Exchange Commission and any stock exchange or similar authority; and

 

 

 

(3)

 

take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required of, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as shall be deemed appropriate by such attorney-in-fact in such attorney-in-fact’s discretion.

 

The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever necessary, appropriate or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact’s substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted.  The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned’s responsibilities to comply with Section 16 of the Securities Exchange Act of 1934 and Rule 144 under the Securities Act of 1933.

 

This Power of Attorney shall remain in full force and effect until the earliest of the following has occurred: (1) the undersigned is no longer required to file Forms 3, 4, 5 and 144 with respect to the undersigned’s holdings of and transactions in securities issued by the Company, (2) this Power of Attorney is revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact, or (3) as to any attorney-in-fact individually, such attorney-in-fact is no longer employed by the Company.

 

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 9th day of November, 2016.

 

Signature:

/s/ Jeff C. Newcom

 

 

 

 

Print Name:

JEFF C. NEWCOM