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