SEC Form 4 · accession 0001127602-17-012561
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
Mar 17, 2017
Accepted (ET)
Mar 21, 2017 · 6:13 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 | — | Mar 17, 2017 | A | 5 | A | — | — | Common Stock | 5 | 1,616 | D |
| Phantom Stock Under NQ Retirement PlanF3,F1 | — | Mar 21, 2017 | D | 24 | D | — | — | Common Stock | 24 | 1,592 | 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.
- F2Between March 15, 2017 and March 21, 2017, the Reporting Person acquired 5 shares of First Midwest Bancorp, Inc. common stock under the First Midwest Bancorp, Inc. Non-Qualified Retirement Plan through the bi-weekly employee contribution feature of the Plan. The information in this report is based on a Plan statement dated March 17, 2017.
- F3Between March 15, 2017 and March 21, 2017, 24 shares of First Midwest Bancorp, Inc. common stock under the First Midwest Bancorp, Inc. Non-Qualified Retirement Plan were sold from the Reporting Person's account due to an inadvertent over allocation of shares from the Company match during the 2016 plan year. The information in this report is based on a Plan statement dated March 21, 2017.