SEC Form 4 · accession 0001127602-16-037570
FIRST MIDWEST BANCORP INC · FMBI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Peter J Henseler
Director
Period of report
Jan 19, 2016
Accepted (ET)
Jan 22, 2016 · 7:00 am 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 Deferred Comp. PlanF2,F3,F1 | — | Jan 19, 2016 | A | 82 | A | — | — | Common Stock | 82 | 1,791 | D |
Explanation of responses
- F1Shares of phantom stock acquired pursuant to the Nonqualified Deferred Compensation 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.
- F2Between October 21, 2015 and January 22, 2016, the Reporting Person acquired 82 shares of First Midwest Bancorp, Inc. Common Stock under the First Midwest Bancorp, Inc. Non-Qualified Deferred Compensation Plan. The information in this report is based on a plan statement received January 20, 2016.
- F3Between October 21, 2015 and January 22, 2016, the Reporting Person acquired 9 shares of First Midwest Bancorp, Inc. Common Stock pursuant to the Dividend Reinvestment feature under the First Midwest Bancorp, Inc. Non-Qualified Deferred Compensation Plan. The information in this report is based on a plan statement dated January 12, 2016.