SEC Form 4 · accession 0001593968-16-001271
Midland States Bancorp, Inc. · MSBI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas D Shaw
Director
Period of report
Dec 2, 2016
Accepted (ET)
Dec 5, 2016 · 5:21 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001466026
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2,F3 | Dec 2, 2016 | P | 3,040 | $32.858 | A | 11,658 | I | Thomas D. Shaw A&R Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Share EquivalentF4,F5 | — | holding | — | — | — | — | — | Common Stock | 20,106 | 20,106 | D |
Explanation of responses
- F1The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $32.85 - $32.86 inclusive. The reporting person undertakes to provide to Midland States Bancorp, Inc., any security holder of the issuer or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each price within the ranges set forth in footnote 1 to this form.
- F2The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose
- F3Prior Section 16 reports for the reporting person incorrectly included indirect holdings under two separate trusts. In fact, these two previously identified trusts are the same trust. The full name of the trust is the Thomas D. Shaw Trust, originally dated 10/27/72, as amended and restated 3/25/14. All shares of the issuer held by this trust are correctly represented on this Form 4.
- F4Represents common share equivalents acquired by the reporting person under the Directors Deferred Compensation Plan (DDCP) of the Issuer with respect to directors fees deferred by the reporting person during the quarter, based upon the closing price of the underlying shares on the last day of the quarter. Each common share equivalent is the economic equivalent of one share of common stock. Common share equivalents received for deferred director fees are fully vested on the transaction date listed above.
- F5Common share equivalents become payable upon termination of service as a director except for any unvested portion of the Issuer matching contribution.