144 1 d144.txt FORM 144
|------------------------------| | OMB APPROVAL | |------------------------------| | OMB Number: 3235-0101 | | Expires: December 31, 2006 | UNITED STATES | Estimated average burden | SECURITIES AND EXCHANGE COMMISSION | hours per response..... 4.47 | WASHINGTON, D.C. 20549 |------------------------------| +-----------------------+ | SEC USE ONLY | FORM 144 +-----------------------+ | DOCUMENT SEQUENCE NO. | | | NOTICE OF PROPOSED SALE OF SECURITIES +-----------------------+ PURSUANT TO RULE 144 UNDER THE SECURITIES ACT OF 1933 | CUSIP NUMBER | | | ATTENTION: Transmit for filing 3 copies of this form +-----------------------+ concurrently with either placing an order | WORK LOCATION | with a broker to execute sale or executing | | a sale directly with a market maker. +-----------------------+ ------------------------------------------------------------------------------------------------------------------------------------ 1 (a) NAME OF ISSUER (Please type or print) (b) IRS IDENT. NO. (c) S.E.C. FILE NO. First Midwest Bancorp, Inc. 36-3161078 0-10967 ------------------------------------------------------------------------------------------------------------------------------------ 1 (d) ADDRESS OF ISSUER STREET CITY STATE ZIP CODE (e) TELEPHONE NO. --------------------- AREA CODE | NUMBER 300 Park Boulevard, Suite 400 Itasca Illinois 60143 772 231-6421 ------------------------------------------------------------------------------------------------------------------------------------ 2 (a) NAME OF PERSON FOR WHOSE ACCOUNT THE SECURITIES ARE TO BE SOLD (b) IRS INDENT. NO. (c) RELATIONSHIP TO ISSUER Robert P. O'Meara ###-##-#### COB ------------------------------------------------------------------------------------------------------------------------------------ 2 (d) ADDRESS STREET CITY STATE ZIP CODE 500 Beachview Drive, PHS Indian River Shores Florida 32963 ------------------------------------------------------------------------------------------------------------------------------------
INSTRUCTION: The person filing this notice should contact the issuer to obtain the I.R.S. Identification Number and the S.E.C. File Number
------------------------------------------------------------------------------------------------------------------------------------ 3(a) (b) SEC USE ONLY (c) (d) (e) (f) (g) Title of the Name and Address of Each Broker -------------- Number of Aggregate Number of Approximate Name of Each Class of Through Whom the Securities are Broker-Dealer Shares Market Shares Date of Sale Securities Securities to be Offered or Each Market Maker File Number or Other Value or Other (See instr. Exchange To Be Sold who is Acquiring the Securities Units (See instr. Units 3(f)) (See instr. To Be Sold 3(d)) Outstanding (MO. DAY YR.) 3(g)) (See instr. (See instr. 3(c)) 3(e)) ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ Common Lehman Brothers, 190 S. LaSalle 30,000 $1,027,500 46,537,000 4/26/04 NASDAQ Street, 25th Floor, Chicago, IL 60603 ------------------------------------------------------------------------------------------------------------------------------------ Keefe, Bruyette & Woods, 787 7th Avenue, 4th Floor, NY, NY 10019 ------------------------------------------------------------------------------------------------------------------------------------ McDonald Investments, 227 W. Monroe Street, Ste. 1800, Chicago, IL 60606 ------------------------------------------------------------------------------------------------------------------------------------ Stifel, Nicolaus & Co., 501 N. Broadway, 8th Floor, St. Louis, MO 63102 ------------------------------------------------------------------------------------------------------------------------------------
INSTRUCTIONS: 1.(a) Name of Issuer (b) Issuer's I.R.S. Identification Number (c) Issuer's S.E.C. file number, if any (d) Issuer's address, including zip code (e) Issuer's telephone number, including area code 2.(a) Name of person for whose account the securities are to be sold (b) Such person's I.R.S. identification number, if such person is an entity (c) Such person's relationship to the issuer (e.g., officer, director, 10% stockholder, or member of immediate family of any of the foregoing) (d) Such person's address, including zip code 3.(a) Title of the class of securities being sold (b) Name and address of each broker through whom the securities are intended to be sold (c) Number of shares or other units to be sold (if debt securities, give the aggregate face amount) (d) Aggregate market value of the securities to be sold as of a specified date within 10 days prior to the filing of this notice (e) Number of shares or other units of the class outstanding, or if debt securities the face amount thereof outstanding, as shown by the most recent report or statement published by the issuer (f) Approximate Date on which the securities are sold (g) Name of each securities exchange, if any, on which the securities are intended to be sold TABLE I--SECURITIES TO BE SOLD Furnish the following information with respect to the acquisition of the securities to be sold and with respect to the payment of all or any part of the purchase price or other consideration therefor:
------------------------------------------------------------------------------------------------------------------------------------ Title of Date You Name of Person from Whom Acquired Amount of Date of Nature the Class Acquired Nature of Acquisition Transaction (If gift, also give date donor acquired) Securities Payment of Payment Acquired ------------------------------------------------------------------------------------------------------------------------------------ Common 2/2/04 Distribution From First Midwest First Midwest Bancorp. Inc. 61,868 N/A N/A Bancorp, Inc. Savings & Profit Savings & Profit Sharing Sharing Plan Plan ------------------------------------------------------------------------------------------------------------------------------------
INSTRUCTIONS: 1. If the securities were purchased and full payment therefore was not made in cash at the time of purchase, explain in the table or in a note thereto the nature of the consideration given. If the consideration consisted of any note or other obligation, or if payment was made in installments describe the arrangement and state when the note or other obligation was discharged in full or the last installment paid. 2. If within two years after the acquisition of the securities the person for whose account they are to be sold had any short positions, put or other option to dispose of securities referred to in paragraph (d)(3) of Rule 144, furnish full information with respect thereto. =============================================================================== TABLE II--SECURITIES SOLD DURING THE PAST 3 MONTHS Furnish the following information as to all securities of the issuer sold during the past 3 months by the person for whose account the securities are to be sold. ------------------------------------------------------------------------------------------------------------------------------------ Amount of Name and Address of Seller Title of Securities Sold Date of Sale Securities Gross Proceeds Sold ------------------------------------------------------------------------------------------------------------------------------------ Robert P. O'Meara Common 2/11/04 1,400 $46,000 500 Beachview Drive, PHS Indian River Shores, FL 32963 ------------------------------------------------------------------------------------------------------------------------------------
REMARKS: INSTRUCTIONS: See the definition of "person" in paragraph (a) of Rule 144. Information is to be given not only as to the person for whose account the securities are to be sold but also as to all other persons included in that definition. In addition, information shall be given as to sales by all persons whose sales are required by paragraph (e) of Rule 144 to be aggregated with sales for the account of the person filing this notice. ATTENTION: The Person for whose account the securities to which this notice relates are to be sold hereby represents by signing this notice that he does not know any material adverse information in regard to the current and prospective operations of the Issuer of the securities to be sold which has not been publicly disclosed. April 26, 2004 --------------------------------------------- DATE OF NOTICE Attorney-in-Fact for: Robert P. O'Meara by /s/ Andrea L. Stangl --------------------------------------------- (SIGNATURE) The notice shall be signed by the person for whose account the securities are to be sold. At least one copy of the notice shall be manually signed. Any copies not manually signed shall bear typed or printed signatures. ------------------------------------------------------------------------------- ATTENTION: Intentional misstatements or omission of facts constitute Federal Criminal Violations (See 18 U.S.C. 1001).