SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
VANDERWOUDE J STEPHEN

(Last) (First) (Middle)
300 PARK BOULEVARD, SUITE 400

(Street)
ITASCA IL 60143

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
FIRST MIDWEST BANCORP INC [ FMBI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
12/10/2004
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 12/10/2004 M(1) 1,005 A $18.4 1,005 I By NQ Stock Option Gain Deferral Plan Tr
Common Stock 12/10/2004 M(2) 998 A $18.55 2,003 I By NQ Stock Option Gain Deferral Plan Tr
Common Stock 12/10/2004 M(3) 2,011 A $18.875 4,014 I By NQ Stock Option Gain Deferral Plan Tr
Common Stock 12/10/2004 M(4) 1,594 A $20.1334 5,608 I By NQ Stock Option Gain Deferral Plan Tr
Common Stock 12/10/2004 M(5) 854 A $21.7 6,462 I By NQ Stock Option Gain Deferral Plan Tr
Common Stock 12/10/2004 M(6) 2,500 A $22.5 8,962 I By NQ Stock Option Gain Deferral Plan Tr
Common Stock 12/10/2004 M(7) 1,462 A $26.255 10,424 I By NQ Stock Option Gain Deferral Plan Tr
Common Stock 12/10/2004 F(1) 512 D $0 9,912 I By NQ Stock Option Gain Deferral Plan Tr
Common Stock 12/10/2004 F(2) 512 D $0 9,400 I By NQ Stock Option Gain Deferral Plan Tr
Common Stock 12/10/2004 F(3) 1,050 D $0 8,350 I By NQ Stock Option Gain Deferral Plan Tr
Common Stock 12/10/2004 F(4) 888 D $0 7,462 I By NQ Stock Option Gain Deferral Plan Tr
Common Stock 12/10/2004 F(5) 513 D $0 6,949 I By NQ Stock Option Gain Deferral Plan Tr
Common Stock 12/10/2004 F(6) 1,556 D $0 5,393 I By NQ Stock Option Gain Deferral Plan Tr
Common Stock 12/10/2004 F(7) 1,062 D $0 4,331 I By NQ Stock Option Gain Deferral Plan Tr
Common Stock 6,093 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Non-Qualified Stock Option (right to buy) $20.1334 12/10/2004 M(4) 1,594 11/19/1998 11/19/2007 Common Stock 1,594 $20.1334 0 D
Non-Qualified Stock Option (right to buy) $36.165 12/10/2004 A(8) 888 06/10/2005 11/19/2007 Common Stock 888 $0 888 D
Non-Qualified Stock Option (right to buy) $21.7 12/10/2004 M(5) 854 02/18/1999 02/18/2008 Common Stock 854 $21.7 0 D
Non-Qualified Stock Option (right to buy) $36.165 12/10/2004 A(8) 513 06/10/2005 02/18/2008 Common Stock 513 $0 513 D
Non-Qualified Stock Option (right to buy) $18.55 12/10/2004 M(2) 998 02/17/2000 02/17/2009 Common Stock 998 $18.55 0 D
Non-Qualified Stock Option (right to buy) $36.165 12/10/2004 A(8) 512 06/10/2005 02/17/2009 Common Stock 512 $0 512 D
Non-Qualified Stock Option (right to buy) $18.4 12/10/2004 M(1) 1,005 02/16/2001 02/16/2010 Common Stock 1,005 $18.4 0 D
Non-Qualified Stock Option (right to buy) $36.165 12/10/2004 A(8) 512 06/10/2005 02/16/2010 Common Stock 512 $0 512 D
Non-Qualified Stock Option (right to buy) $18.875 12/10/2004 M(3) 2,011 05/17/2001 05/17/2010 Common Stock 2,011 $18.875 0 D
Non-Qualified Stock Option (right to buy) $36.165 12/10/2004 A(8) 1,050 06/10/2005 05/17/2010 Common Stock 1,050 $0 1,050 D
Non-Qualified Stock Option (right to buy) $22.5 12/10/2004 M(6) 2,500 02/21/2002 02/21/2011 Common Stock 2,500 $22.5 0 D
Non-Qualified Stock Option (right to buy) $36.165 12/10/2004 A(8) 1,556 06/10/2005 02/21/2011 Common Stock 1,556 $0 1,556 D
Non-Qualified Stock Option (right to buy) $26.255 12/10/2004 M(7) 1,462 02/19/2004 02/19/2013 Common Stock 1,462 $26.255 880 D
Non-Qualified Stock Option (right to buy) $36.165 12/10/2004 A(8) 1,062 06/10/2005 02/19/2013 Common Stock 1,062 $0 1,062 D
Explanation of Responses:
1. The transaction represents the exercise of 1,005 stock options under the Non-Employee Directors' Stock Option Plan whereby 512 previously acquired shares were tendered as payment of the exercise price with the resulting value realized being deferred into the Nonqualified Gain Deferral Plan in the form of 493 shares.
2. The transaction represents the exercise of 998 stock options under the Non-Employee Directors' Stock Option Plan whereby 512 previously acquired shares were tendered as payment of the exercise price with the resulting value realized being deferred into the Nonqualified Gain Deferral Plan in the form of 486 shares.
3. The transaction represents the exercise of 2,011 stock options under the Non-Employee Directors' Stock Option Plan whereby 1,050 previously acquired shares were tendered as payment of the exercise price with the resulting value realized being deferred into the Nonqualified Gain Deferral Plan in the form of 961 shares.
4. The transaction represents the exercise of 1,594 stock options under the Non-Employee Directors' Stock Option Plan whereby 888 previously acquired shares were tendered as payment of the exercise price with the resulting value realized being deferred into the Nonqualified Gain Deferral Plan in the form of 706 shares.
5. The transaction represents the exercise of 854 stock options under the Non-Employee Directors' Stock Option Plan whereby 513 previously acquired shares were tendered as payment of the exercise price with the resulting value realized being deferred into the Nonqualified Gain Deferral Plan in the form of 341 shares.
6. The transaction represents the exercise of 2,500 stock options under the Non-Employee Directors' Stock Option Plan whereby 1,556 previously acquired shares were tendered as payment of the exercise price with the resulting value realized being deferred into the Nonqualified Gain Deferral Plan in the form of 944 shares.
7. The transaction represents the exercise of 1,462 stock options under the Non-Employee Directors' Stock Option Plan whereby 1,062 previously acquired shares were tendered as payment of the exercise price with the resulting value realized being deferred into the Nonqualified Gain Deferral Plan in the form of 400 shares.
8. The transaction represents a reload stock option granted under the Non-Employee Directors' Stock Option Plan to replace the number of shares tendered in the option exercised on 12/10/04.
Remarks:
By: Andrea L. Stangl, Attorney-in-fact for 12/14/2004
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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