0001127602-17-034505.txt : 20171212
0001127602-17-034505.hdr.sgml : 20171212
20171212184033
ACCESSION NUMBER: 0001127602-17-034505
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171208
FILED AS OF DATE: 20171212
DATE AS OF CHANGE: 20171212
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Newcom Jeff C
CENTRAL INDEX KEY: 0001689930
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-10967
FILM NUMBER: 171252721
MAIL ADDRESS:
STREET 1: ONE PIERCE PLACE
STREET 2: SUITE 1500
CITY: ITASCA
STATE: IL
ZIP: 60143
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
2017-12-08
0000702325
FIRST MIDWEST BANCORP INC
FMBI
0001689930
Newcom Jeff C
ONE PIERCE PLACE, SUITE 1500
ITASCA
IL
60143
1
EVP and Chief Risk Officer
Common Stock
2017-12-08
4
F
0
666
24.56
D
10061
D
On December 8, 2016 the Issuer granted the Reporting Person a Restricted Stock Award (RSA) of 4,117 restricted shares of First Midwest Bancorp, Inc. Common Stock under the First Midwest Bancorp, Inc. Omnibus Stock and Incentive Plan which were scheduled to vest 50% on the first anniversary of the date of grant and the remaining 50% on the second anniversary. On December 8, 2017, 2,059 shares of the originally granted RSAs vested, of which 666 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.
/s/ Andrea L. Stangl, Attorney-in-fact for Jeff C. Newcom
2017-12-12