0001127602-17-022267.txt : 20170627 0001127602-17-022267.hdr.sgml : 20170627 20170627191655 ACCESSION NUMBER: 0001127602-17-022267 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170623 FILED AS OF DATE: 20170627 DATE AS OF CHANGE: 20170627 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: Boylan Jo Ann CENTRAL INDEX KEY: 0001671909 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10967 FILM NUMBER: 17933458 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 2017-06-23 0000702325 FIRST MIDWEST BANCORP INC FMBI 0001671909 Boylan Jo Ann ONE PIERCE PLACE SUITE 1500 ITASCA IL 60143 1 EVP, Chief Info/Ops Officer Phantom Stock Under NQ Retirement Plan 2017-06-23 4 A 0 1 22.72 A Common Stock 1 13 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 June 10, 2017 and June 23, 2017, the Reporting Person acquired 1 share 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 June 23, 2017. /s/ Andrea L. Stangl, Attorney-in-fact for Jo Ann Boylan 2017-06-27