0001127602-13-006888.txt : 20130219
0001127602-13-006888.hdr.sgml : 20130219
20130219200229
ACCESSION NUMBER: 0001127602-13-006888
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130217
FILED AS OF DATE: 20130219
DATE AS OF CHANGE: 20130219
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KOZAK MICHAEL J
CENTRAL INDEX KEY: 0001279184
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-10967
FILM NUMBER: 13624974
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
X0306
4
2013-02-17
1
0000702325
FIRST MIDWEST BANCORP INC
FMBI
0001279184
KOZAK MICHAEL J
ONE PIERCE PLACE
SUITE 1500
ITASCA
IL
60143
1
EVP, Senior Credit Officer
Common Stock
2013-02-17
4
F
0
1513
12.75
D
40097
D
Common Stock
8389
I
By Profit Sharing Plan Trust
On February 17, 2010 the Issuer granted the Reporting Person a Restricted Stock Award (RSA) of 8,035 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 February 17, 2013, the remaining 4,017 shares of the originally granted RSAs vested, of which 1,513 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.
Between May 23, 2012 and February 19, 2013 the Reporting Person acquired 4 shares of First Midwest Bancorp, Inc. Common Stock under the First Midwest Bancorp, Inc. Dividend Reinvestment Plan. The information in this report is based on a statement dated January 17, 2013.
Between May 23, 2012 and February 19, 2013 the Reporting Person acquired the following shares of First Midwest Bancorp, Inc. Common Stock under the First Midwest Bancorp, Inc. Savings and Profit Sharing Plan: (a) 108 shares pursuant to quarterly match contributions from the Issuer; (b) 30 shares pursuant to the Dividend Reinvestment feature of the Plan; (c) 483 shares pursuant to payroll contributions; and (d) 7 shares were sold from the Reporting Person's Plan account in satisfaction of quarterly Plan administration fees. This information is based on a Plan statement dated January 31, 2013.
Andrea L. Stangl, Attorney-in-fact for Michael J. Kozak
2013-02-19