0001127602-11-010263.txt : 20110315 0001127602-11-010263.hdr.sgml : 20110315 20110315173438 ACCESSION NUMBER: 0001127602-11-010263 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110311 FILED AS OF DATE: 20110315 DATE AS OF CHANGE: 20110315 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: 11689645 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 form4.xml PRIMARY DOCUMENT X0303 4 2011-03-11 0000702325 FIRST MIDWEST BANCORP INC FMBI 0001390393 Clemens Paul F ONE PIERCE PLACE, SUITE 1500 ITASCA IL 60143 1 EVP, Chief Financial Officer Common Stock 2011-03-11 4 A 0 145 A 48148 D Common Stock 2003 I By IRA Common Stock 292 I By Profit Sharing Plan Trust Phantom Stock Under NQ Retirement Plan 2011-03-14 4 A 0 367 11.73 A Common Stock 367 1850 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 $12.02 (the average high and low sale price of one share of the company's common stock as quoted on the Nasdaq Stock Market on March 10, 2011). 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 the following shares of First Midwest Bancorp, Inc. Common Stock under the First Midwest Bancorp, Inc. Nonqualified Retirement Plan: (a) 1 share pursuant to the Dividend Reinvestment feature of the Plan; and (b) 367 shares through the year end discretionary employer contribution. This information is based on plan statements dated January 11, 2011 and March 14, 2011, respectively. Andrea L. Stangl, Attorney-in-fact for Paul F. Clemens 2011-03-15