0001127602-12-000332.txt : 20120103
0001127602-12-000332.hdr.sgml : 20120102
20120103190044
ACCESSION NUMBER: 0001127602-12-000332
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: WISE STEPHANIE R
CENTRAL INDEX KEY: 0001279183
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-10967
FILM NUMBER: 12503527
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
0001279183
WISE STEPHANIE R
ONE PIERCE PLACE
SUITE 1500
ITASCA
IL
60143
1
EVP, Bus.&Institutional Svcs.
Phantom Stock Under NQ Retirement Plan
0
2011-12-30
4
A
0
30
10.29
A
Common Stock
30
499
D
Shares of phantom stock acquired under the Nonqualified Retirement Plan have a 1-for-1 conversion ratio and are payable in cash upon distribution to the Participant in accordance with the terms of the Plan.
Between March 16, 2010 and January 3, 2012 the Reporting Person acquired the following shares of First Midwest Bancorp, Inc. Common Stock under the First Midwest Bancorp, Inc. Nonqualified Retirement Plan: (a) 3 shares pursuant to the Dividend Reinvestment feature of the Plan; and (b) 30 shares pursuant to a quarterly employer contribution. The aggregate information reported in this line item is based on a plan statement dated December 30, 2011.
Andrea L. Stangl, Attorney-in-fact for Stephanie R. Wise
2012-01-03