0001127602-11-017431.txt : 20110524 0001127602-11-017431.hdr.sgml : 20110524 20110524171516 ACCESSION NUMBER: 0001127602-11-017431 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110520 FILED AS OF DATE: 20110524 DATE AS OF CHANGE: 20110524 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOZAK MICHAEL J CENTRAL INDEX KEY: 0001279184 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10967 FILM NUMBER: 11868754 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 2011-05-20 0000702325 FIRST MIDWEST BANCORP INC FMBI 0001279184 KOZAK MICHAEL J ONE PIERCE PLACE SUITE 1500 ITASCA IL 60143 1 EVP, Chief Credit Officer Common Stock 2011-05-20 4 F 0 119 12.24 D 38523 D Common Stock 2011-05-20 4 F 0 1820 12.24 D 36703 D Common Stock 6847 I By Profit Sharing Plan Trust On May 20, 2009 the Issuer granted the Reporting Person a Restricted Stock Award (RSA) of 755 restricted shares of First Midwest Bancorp, Inc. Common Stock under the First Midwest Bancorp, Inc. Omnibus Stock Incentive Plan (Plan) which were scheduled to vest in two equal annual installments on the first and second anniversary of the date of grant. On May 20, 2011, the remaining 377 shares of the originally granted RSAs vested, of which 119 shares were surrendered by the Reporting Person in order to satisfy tax withholding obligations. This form is being filed to reflect the surrender of such shares to satisfy the Reporting Person's tax withholding obligation. On May 20, 2009 the Issuer granted the Reporting Person a Restricted Stock Award (RSA) of 11,570 restricted shares of First Midwest Bancorp, Inc. Common Stock under the First Midwest Bancorp, Inc. Omnibus Stock Incentive Plan (Plan) which were scheduled to vest in two equal annual installments on the second and third anniversary of the date of grant. On May 20, 2011, 5,785 shares of the originally granted RSAs vested, of which 1,820 shares were surrendered by the Reporting Person in order to satisfy tax withholding obligations. This form is being filed to reflect the surrender of such shares to satisfy the Reporting Person's tax withholding obligation. Between February 26, 2011 and May 24, 2011 the reporting person acquired 2 shares of First Midwest common stock under the First Midwest Bancorp, Inc. Dividend Reinvestment Plan. The information in this report is based on a plan statement dated April 12, 2011. Between February 26, 2011 and May 24, 2011 the Reporting Person acquired the following shares of First Midwest Bancorp, Inc. Common Stock under the First Midwest Bancorp, Inc. Savings and Profit Sharing Plan: (a) 33 shares pursuant to quarterly match contributions from the Company; (b) 9 shares pursuant to the Dividend Reinvestment feature of the Plan; and (c) 146 shares pursuant to payroll contributions. This information is based on plan statements dated April 6, 2011, April 18, 2011 and May 12, 2011, respectively. Andrea L. Stangl, Attorney-in-fact for Michael J. Kozak 2011-05-24