SEC Form 4 · accession 0001593968-17-000043
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 31, 2016
Accepted (ET)
Jan 4, 2017 · 3:13 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 | holding | — | — | — | 11,658 | I | Thomas D. Shaw A&R Trust | |
| Common Stock | holding | — | — | — | 1,525 | I | Tamsin J Shaw IRA | |
| Common Stock | holding | — | — | — | 2,900 | I | Thomas D Shaw IRA |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Share EquivalentF2,F3 | — | Dec 31, 2016 | A | 383 | A | — | — | Common Stock | 383 | 20,490 | D |
| Common Share EquivalentF4,F2,F3 | — | Dec 31, 2016 | A | 96 | A | — | — | Common Stock | 96 | 20,586 | D |
| Common Share EquivalentF5,F2,F3 | — | Dec 31, 2016 | A | 93 | A | — | — | Common Stock | 93 | 20,678 | D |
Explanation of responses
- F1The 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
- F2Represents 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.
- F3Common share equivalents become payable upon termination of service as a director except for any unvested portion of the Issuer matching contribution.
- F4Represents common share equivalents acquired by the reporting person in the DDCP through the 25% Issuer matching contribution for the director fees paid to the reporting person during the quarter, based upon the closing price of the underlying shares on the last day of the quarter. Common share equivalents received for the Issuer matching contribution vest in four equal annual portions beginning on the first anniversary of the grant date, and unvested matching contributions are forfeited at the time service as a director terminates.
- F5Represents common share equivalents acquired by the reporting person in the DDCP pursuant to the reinvestment of dividends received during the quarter on common share equivalents held in the DDCP by the reporting person at the time such dividend was paid on the underlying shares, based upon closing price of the underlying shares on the last day of the quarter. Common share equivalents received for dividend reinvestments are fully vested on the transaction date listed above and become payable upon termination of service as a director. Includes subtraction of 7.4079 shares that were overstated in last Form 4 filed for the reporting person.