0001127602-16-059947.txt : 20160809 0001127602-16-059947.hdr.sgml : 20160809 20160809192825 ACCESSION NUMBER: 0001127602-16-059947 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160805 FILED AS OF DATE: 20160809 DATE AS OF CHANGE: 20160809 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hoskins Michelle Y CENTRAL INDEX KEY: 0001637060 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10967 FILM NUMBER: 161819659 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 2016-08-05 0000702325 FIRST MIDWEST BANCORP INC FMBI 0001637060 Hoskins Michelle Y ONE PIERCE PLACE SUITE 1500 ITASCA IL 60143 1 EVP, Chief HR Officer Phantom Stock Under NQ Retirement Plan 2016-08-05 4 A 0 29 19.25 A Common Stock 29 1013 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 July 27, 2016 and August 9, 2016, the Reporting Person acquired 29 shares of First Midwest Bancorp, Inc. Common Stock under the First Midwest Bancorp, Inc. Non-Qualified Retirement Plan through the bi-weekly employee contribution feature of the Plan. The information in this report is based on a Plan statement dated August 5, 2016. /s/ Andrea L. Stangl, Attorney-in-fact for Michelle Y. Hoskins 2016-08-09