0001127602-12-000305.txt : 20120103
0001127602-12-000305.hdr.sgml : 20120102
20120103181433
ACCESSION NUMBER: 0001127602-12-000305
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111230
FILED AS OF DATE: 20120103
DATE AS OF CHANGE: 20120103
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Sander Mark G
CENTRAL INDEX KEY: 0001471708
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-10967
FILM NUMBER: 12503398
MAIL ADDRESS:
STREET 1: 1200 HANSEN ROAD
CITY: GREEN BAY
STATE: WI
ZIP: 54304
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
2011-12-30
0000702325
FIRST MIDWEST BANCORP INC
FMBI
0001471708
Sander Mark G
ONE PIERCE PLACE
SUITE 1500
ITASCA
IL
60143
1
Senior Executive VP & COO
Common Stock
2011-12-30
4
A
0
482
A
47269
D
Common Stock
2011-12-30
4
A
0
479
A
47748
D
Common Stock
2011-12-31
4
F
0
10342
10.175
D
37406
D
Represents a portion of base salary paid to the Reporting Person in bi-weekly installments of fully vested shares.
The number of shares represented by this award was determined by dividing the dollar value of the award granted to the Reporting Person by $10.23 (the average high and low sale price of one share of the company's common stock as quoted on the Nasdaq Stock Market on December 29, 2011).
Represents payment under a salary stock agreement with the Reporting Person consisting of payment of bi-weekly installments of fully vested shares until December 2013.
On June 20, 2011 the Issuer granted a Restricted Stock Award (RSA) of 32,881 restricted shares of First Midwest Bancorp, Inc. Common Stock pursuant to the Reporting Person's employment agreement which vested on December 31, 2011. 10,342 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.
Andrea L. Stangl, Attorney-in-fact for Mark G. Sander
2012-01-03