0001127602-12-008496.txt : 20120228 0001127602-12-008496.hdr.sgml : 20120228 20120228181839 ACCESSION NUMBER: 0001127602-12-008496 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120226 FILED AS OF DATE: 20120228 DATE AS OF CHANGE: 20120228 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KOZAK MICHAEL J CENTRAL INDEX KEY: 0001279184 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10967 FILM NUMBER: 12649277 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIRST MIDWEST BANCORP INC CENTRAL INDEX KEY: 0000702325 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 363161078 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE PIERCE PLACE STREET 2: SUITE 1500 CITY: ITASCA STATE: IL ZIP: 60143 BUSINESS PHONE: 6308757450 MAIL ADDRESS: STREET 1: ONE PIERCE PLACE STREET 2: SUITE 1500 CITY: ITASCA STATE: IL ZIP: 60143 4 1 form4.xml PRIMARY DOCUMENT X0304 4 2012-02-26 0000702325 FIRST MIDWEST BANCORP INC FMBI 0001279184 KOZAK MICHAEL J ONE PIERCE PLACE SUITE 1500 ITASCA IL 60143 1 EVP and Chief Credit Officer Common Stock 2012-02-26 4 F 0 649 11.535 D 43425 D Common Stock 7584 I By Profit Sharing Plan Trust On February 26, 2010 the Issuer granted the Reporting Person a Restricted Stock Award (RSA) of 3,705 restricted shares of First Midwest Bancorp, Inc. Common Stock under the First Midwest Bancorp, Inc. Omnibus Stock Incentive Plan (Plan) which were scheduled to vest in two equal annual installments on the second and third anniversary of the date of grant. On February 26, 2012, 1,853 shares of the originally granted RSAs vested, of which 649 shares were surrendered by the Reporting Person in order to satisfy tax withholding obligations. This form is being filed to reflect the surrender of such shares to satisfy the Reporting Person's tax withholding obligation. Andrea L. Stangl, Attorney-in-fact for Michael J. Kozak 2012-02-28