SEC Form 4 · accession 0001593968-17-000103

Midland States Bancorp, Inc. · MSBI

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director

Period of report

Dec 2, 2016

Accepted (ET)

Jan 19, 2017 · 8:37 am 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 Stock^F1,F2	Dec 2, 2016	J	11	$32.5667	A	2,044	I	Spouse
Common Stock^F3,F2	Dec 2, 2016	J	195	$32.4469	A	35,642	I	Summit Investors, LLP
Common Stock^F4	holding	—	—		—	14,343	D
Common Stock^F2	holding	—	—		—	83,075	I	Red Bird Investors, LLC
Common stock^F2	holding	—	—		—	250,030	I	J.M. Schultz Investment, LLC

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Common Share Equivalent^F5,F6	—	holding	—	—	—	—	—	Common Stock	47,993	47,993	D

F111 shares have been added to reflect automatic dividend reinvestments since the Reporting Persons last Form 4, pursuant to Rule 16a-11
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
F3195 shares have been added to reflect automatic dividend reinvestments since the Reporting Persons last Form 4, pursuant to Rule 16a-11
F4Includes holdings through a self-directed IRA or revocable grantor trust
F5No exercise price for this type of award
F6Common share equivalents become payable upon termination of service as a director except for any unvested portion of the Issuer matching contribution.