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