SEC Form 4 · accession 0001593968-17-001328
Midland States Bancorp, Inc. · MSBI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John M Schultz
Director
Period of report
Dec 4, 2017
Accepted (ET)
Dec 6, 2017 · 5:50 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 | Dec 4, 2017 | G | 1,600 | $0.00 | D | 313,426 | D | |
| Common StockF2 | holding | — | — | — | 2,750 | I | Spouse | |
| Common StockF2 | holding | — | — | — | 42,554 | I | Agracel, Inc. | |
| Common StockF2 | holding | — | — | — | 79,903 | I | JNJ, 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 EquivalentF3,F4 | — | holding | — | — | — | — | — | Common Stock | 55,241 | 55,241 | D |
Explanation of responses
- F1Includes holdings through a self-directed IRA or revocable grantor trust
- 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
- F3No exercise price for this type of award
- F4Common share equivalents become payable upon termination of service as a director except for any unvested portion of the Issuer matching contribution.