SEC Form 4 · accession 0001104659-17-038760
FIRST MIDWEST BANCORP INC · FMBI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michelle Y Hoskins
Officer — EVP, Chief HR Officer
Period of report
Jun 9, 2017
Accepted (ET)
Jun 12, 2017 · 6:06 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000702325
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom Stock under NQ Retirement PlanF2,F1 | — | Jun 9, 2017 | A | 5 | A | — | — | Common Stock | 5 | 1,632 | D |
Explanation of responses
- F1Shares of phantom stock acquired under the First Midwest Bancorp, Inc. Nonqualified Retirement Plan (the "Plan") represent shares of First Midwest Bancorp, Inc. common stock on a 1-for-1 basis and are payable in cash upon distribution to the Reporting Person in accordance with the terms of the Plan.
- F2Between May 31, 2017 and June 9, 2017, the Reporting Person acquired 5 shares of phantom stock through the bi-weekly employee contribution feature of the Plan. The information in this report is based on a Plan statement dated June 9, 2017.