0001127602-11-027205.txt : 20111011
0001127602-11-027205.hdr.sgml : 20111010
20111011175551
ACCESSION NUMBER: 0001127602-11-027205
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111007
FILED AS OF DATE: 20111011
DATE AS OF CHANGE: 20111011
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: 111136242
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
X0304
4
2011-10-07
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
2011-10-07
4
A
0
224
A
48209
D
Common Stock
2003
I
By IRA
Common Stock
502
I
By Profit Sharing Plan Trust
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 $8.19 (the average high and low sale price of one share of the company's common stock as quoted on the Nasdaq Stock Market on October 6, 2011).
Andrea L. Stangl, Attorney-in-fact for Paul F. Clemens
2011-10-11