SEC Form 4 · accession 0001127602-15-035045
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
Dec 24, 2015
Accepted (ET)
Dec 29, 2015 · 9:43 pm EST
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 | — | Dec 24, 2015 | A | 179 | A | — | — | Common Stock | 179 | 179 | D |
Explanation of responses
- F1Shares of phantom stock acquired under the Nonqualified Retirement Plan have a 1-for-1 conversion ratio and are payable in cash upon distribution to the Participant in accordance with the terms of the Plan.
- F2On December 24, 2015 the Reporting Person acquired 179 shares of First Midwest Bancorp, Inc. Common Stock under the First Midwest Bancorp, Inc. Non-Qualified Retirement Plan pursuant to an Employer contribution.