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