0001127602-17-001487.txt : 20170110
0001127602-17-001487.hdr.sgml : 20170110
20170110191927
ACCESSION NUMBER: 0001127602-17-001487
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170106
FILED AS OF DATE: 20170110
DATE AS OF CHANGE: 20170110
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: 17521736
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
2017-01-06
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
2017-01-06
4
A
0
5
25.42
A
Common Stock
5
1293
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 December 28, 2016 and January 10, 2017, the Reporting Person acquired 5 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 January 6, 2017.
/s/ Andrea L. Stangl, Attorney-in-fact for Michelle Y. Hoskins
2017-01-10