SEC Form 4 · accession 0001593968-17-001291
Midland States Bancorp, Inc. · MSBI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert F. Schultz
Director
Period of report
Nov 29, 2017
Accepted (ET)
Dec 4, 2017 · 3:23 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 | Nov 29, 2017 | J | 22 | $31.60 | A | 3,463 | I | Spouse |
| Common StockF3,F2 | Nov 29, 2017 | J | 229 | $31.61 | A | 36,526 | I | Summit Investors, LLP |
| Common StockF4 | holding | — | — | — | 21,266 | D | ||
| Common StockF2 | holding | — | — | — | 60,306 | I | Red Bird Investors, LLC | |
| Common stockF2 | holding | — | — | — | 250,030 | I | J.M. Schultz Investment, LLC |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Share EquivalentF5,F6 | — | holding | — | — | — | — | — | Common Stock | 50,794 | 50,794 | D |
Explanation of responses
- F122 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
- F3229 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.