-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, HEhEHPE078k0dXc+19L6u5pzUhTuM0nUGmFjsnLJjfncJVNO83lzx+7YSaQX67L+ Jyes8kAQ0KzEMs0aPbHIHg== 0000913849-05-000085.txt : 20050128 0000913849-05-000085.hdr.sgml : 20050128 20050128164110 ACCESSION NUMBER: 0000913849-05-000085 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050126 FILED AS OF DATE: 20050128 DATE AS OF CHANGE: 20050128 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: COLLINS GARY S CENTRAL INDEX KEY: 0001184766 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25887 FILM NUMBER: 05558721 MAIL ADDRESS: STREET 1: 913 SOUTH BOULEVARD CITY: OAK PARK STATE: IL ZIP: 60302 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PRIVATEBANCORP INC CENTRAL INDEX KEY: 0000889936 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 363681151 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: TEN NORTH DEARBORN SUITE 900 CITY: CHICAGO STATE: IL ZIP: 60602 MAIL ADDRESS: STREET 1: TEN NORTH DEARBORN STREET CITY: CHICAGO STATE: IL ZIP: 60602 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2005-01-26 0 0000889936 PRIVATEBANCORP INC PVTB 0001184766 COLLINS GARY S 913 SOUTH BOULEVARD OAK PARK IL 60302 0 1 0 0 Managing Director Variable Prepaid Forward Contract 0 2005-01-26 4 J 0 1 0 A Common Stock 75000 1 D On January 26, 2005, Mr. Collins and his spouse entered into a variable prepaid forward contract agreement with an unaffiliated brokerage firm for an aggregate of 75,000 shares of the Company's common stock. Under the agreement, Mr. Collins may execute transactions for the sale of up to 75,000 shares of his stock at varying prices and has agreed to deliver the shares to the brokerage firm on or about January 28, 2008 (or an earlier date if the agreement is earlier terminated). The number of shares that Mr. Collins will ultimately be required to deliver to the brokerage firm for purchase will be based upon the fair market value of the shares on or about January 28, 2008, but will in no event be more than 75,000 shares. Mr. Collins may, in the alternative, settle the agreement by delivering cash rather than selling the shares. /s/ Lisa M. O'Neill, Attorney-in-Fact 2005-01-27 -----END PRIVACY-ENHANCED MESSAGE-----