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UNITED STATES | Estimated average burden |
SECURITIES AND EXCHANGE COMMISSION | hours per response..... 4.47 |
WASHINGTON, D.C. 20549 |------------------------------|
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| SEC USE ONLY |
FORM 144 +-----------------------+
| DOCUMENT SEQUENCE NO. |
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NOTICE OF PROPOSED SALE OF SECURITIES +-----------------------+
PURSUANT TO RULE 144 UNDER THE SECURITIES ACT OF 1933 | CUSIP NUMBER |
| |
ATTENTION: Transmit for filing 3 copies of this form +-----------------------+
concurrently with either placing an order | WORK LOCATION |
with a broker to execute sale or executing | |
a sale directly with a market maker. +-----------------------+
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1 (a) NAME OF ISSUER (Please type or print) (b) IRS IDENT. NO. (c) S.E.C. FILE NO.
First Midwest Bancorp, Inc. 36-3161078 0-10967
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1 (d) ADDRESS OF ISSUER STREET CITY STATE ZIP CODE (e) TELEPHONE NO.
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AREA CODE | NUMBER
300 Park Boulevard, Suite 400 Itasca Illinois 60143 630 875-7450
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2 (a) NAME OF PERSON FOR WHOSE ACCOUNT THE SECURITIES ARE TO BE SOLD (b) IRS INDENT. NO. (c) RELATIONSHIP
TO ISSUER
Robert P. O'Meara 329-30-4063 COB
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2 (d) ADDRESS STREET CITY STATE ZIP CODE
500 Beachview Drive, PHS Indian River Shores Florida 32963
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INSTRUCTION: The person filing this notice should contact the issuer to obtain
the I.R.S. Identification Number and the S.E.C. File Number
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3(a) (b) SEC USE ONLY (c) (d) (e) (f) (g)
Title of the Name and Address of Each Broker -------------- Number of Aggregate Number of Approximate Name of Each
Class of Through Whom the Securities are Broker-Dealer Shares Market Shares Date of Sale Securities
Securities to be Offered or Each Market Maker File Number or Other Value or Other (See instr. Exchange
To Be Sold who is Acquiring the Securities Units (See instr. Units 3(f)) (See instr.
To Be Sold 3(d)) Outstanding (MO. DAY YR.) 3(g))
(See instr. (See instr.
3(c)) 3(e))
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Common Lehman Brothers, 190 S. LaSalle 20,518 $705,600 46,518,156 9/9/04 NASDAQ
Street, 25th Floor, Chicago, IL
60603
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Keefe, Bruyette & Woods, 787 7th
Avenue, 4th Floor, NY, NY 10019
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McDonald Investments, 227 W. Monroe
Street, Ste. 1800, Chicago, IL 60606
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Stifel, Nicolaus & Co., 501 N.
Broadway, 8th Floor, St. Louis, MO
63102
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INSTRUCTIONS:
1.(a) Name of Issuer
(b) Issuer's I.R.S. Identification Number
(c) Issuer's S.E.C. file number, if any
(d) Issuer's address, including zip code
(e) Issuer's telephone number, including area code
2.(a) Name of person for whose account the securities are to be sold
(b) Such person's I.R.S. identification number, if such person is an entity
(c) Such person's relationship to the issuer (e.g., officer, director,
10% stockholder, or member of immediate family of any of the foregoing)
(d) Such person's address, including zip code
3.(a) Title of the class of securities being sold
(b) Name and address of each broker through whom the securities are intended
to be sold
(c) Number of shares or other units to be sold (if debt securities, give the
aggregate face amount)
(d) Aggregate market value of the securities to be sold as of a specified
date within 10 days prior to the filing of this notice
(e) Number of shares or other units of the class outstanding, or if debt
securities the face amount thereof outstanding, as shown
by the most recent report or statement published by the issuer
(f) Approximate date on which the securities are sold
(g) Name of each securities exchange, if any, on which the securities are
intended to be sold
TABLE I--SECURITIES TO BE SOLD
Furnish the following information with respect to the acquisition of the
securities to be sold and with respect to the payment of all or any
part of the purchase price or other consideration therefor:
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Title of Date You Name of Person from Whom Acquired Amount of Date of Nature
the Class Acquired Nature of Acquisition Transaction (If gift, also give date donor acquired) Securities Payment of Payment
Acquired
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Common 7/21/04 Distribution from First Midwest First Midwest Bancorp. Inc. 20,518 N/A N/A
Bancorp, Inc. Non-qualified Gain Non-qualified Gain
Deferral Plan Deferral Plan
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INSTRUCTIONS:
1. If the securities were purchased and full payment therefore was not made in
cash at the time of purchase, explain in the table or in a note thereto the
nature of the consideration given. If the consideration consisted of any note
or other obligation, or if payment was made in installments describe the
arrangement and state when the note or other obligation was discharged in
full or the last installment paid.
2. If within two years after the acquisition of the securities the person for
whose account they are to be sold had any short positions, put or other
option to dispose of securities referred to in paragraph (d)(3) of Rule 144,
furnish full information with respect thereto.
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TABLE II--SECURITIES SOLD DURING THE PAST 3 MONTHS
Furnish the following information as to all securities of the issuer sold
during the past 3 months by the person for whose account the securities
are to be sold.
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Amount of
Name and Address of Seller Title of Securities Sold Date of Sale Securities Gross Proceeds
Sold
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Robert P. O'Meara Common 7/21/04 6,400 $238,648
500 Beachview Drive, PHS 6/15/04 11,400 $397,338
Indian River Shores, FL 32963 6/14/04 10,000 $347,568
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REMARKS:
INSTRUCTIONS:
See the definition of "person" in paragraph (a) of Rule 144. Information is to
be given not only as to the person for whose account the securities are to be
sold but also as to all other persons included in that definition. In addition,
information shall be given as to sales by all persons whose sales are required
by paragraph (e) of Rule 144 to be aggregated with sales for the account of the
person filing this notice.
ATTENTION:
The Person for whose account the securities to which this notice relates are to
be sold hereby represents by signing this notice that he does not know any
material adverse information in regard to the current and prospective operations
of the Issuer of the securities to be sold which has not been publicly
disclosed.
September 9, 2004
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DATE OF NOTICE
Attorney-in-Fact for:
Robert P. O'Meara by /s/ Andrea L. Stangl
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(SIGNATURE)
The notice shall be signed by the person for whose account the securities
are to be sold. At least one copy of the notice shall be manually
signed. Any copies not manually signed shall bear typed
or printed signatures.
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ATTENTION: Intentional misstatements or omission of facts constitute
Federal Criminal Violations (See 18 U.S.C. 1001).