0001127602-12-017859.txt : 20120522 0001127602-12-017859.hdr.sgml : 20120522 20120522192901 ACCESSION NUMBER: 0001127602-12-017859 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120520 FILED AS OF DATE: 20120522 DATE AS OF CHANGE: 20120522 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Moffitt Kevin L CENTRAL INDEX KEY: 0001521474 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10967 FILM NUMBER: 12862783 MAIL ADDRESS: STREET 1: ONE PIERCE PLACE STREET 2: 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 X0305 4 2012-05-20 0000702325 FIRST MIDWEST BANCORP INC FMBI 0001521474 Moffitt Kevin L ONE PIERCE PLACE SUITE 1500 ITASCA IL 60143 1 EVP, Chief Risk Officer Common Stock 2012-05-20 4 F 0 997 10.14 D 29774 D Common Stock 319 I By Profit Sharing Plan Trust On May 20, 2009 the Issuer granted the Reporting Person a Restricted Stock Award (RSA) of 6,341 restricted shares of First Midwest Bancorp, Inc. Common Stock under the First Midwest Bancorp, Inc. Omnibus Stock Incentive Plan (Plan) which were scheduled to vest in two equal annual installments on the second and third anniversary of the date of grant. On May 20, 2012, the remaining 3,170 shares of the originally granted RSAs vested, of which 997 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 Kevin L. Moffitt 2012-05-22