0001127602-11-028889.txt : 20111108 0001127602-11-028889.hdr.sgml : 20111108 20111108131852 ACCESSION NUMBER: 0001127602-11-028889 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111104 FILED AS OF DATE: 20111108 DATE AS OF CHANGE: 20111108 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: 111187064 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 2011-11-04 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 2011-11-04 4 A 0 200 A 48609 D Common Stock 2003 I By IRA Common Stock 503 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 $9.19 (the average high and low sale price of one share of the company's common stock as quoted on the Nasdaq Stock Market on November 3, 2011). Andrea L. Stangl, Attorney-in-fact for Paul F. Clemens 2011-11-08