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