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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Non-Qualified Stock Option (right to buy) | $ 17.1 | 05/03/2006 | M(1) | 724 | (6) | 02/19/2007 | Common Stock | 724 | $ 0 | 0 | D | ||||
Non-Qualified Stock Option (right to buy) | $ 36.315 | 05/03/2006 | A(7) | 341 | 11/03/2006 | 02/19/2007 | Common Stock | 341 | $ 0 | 341 | D | ||||
Non-Qualified Stock Option (right to buy) | $ 21.7 | 05/03/2006 | M(2) | 2,173 | (8) | 02/18/2008 | Common Stock | 2,173 | $ 0 | 1,146 | D | ||||
Non-Qualified Stock Option (right to buy) | $ 36.315 | 05/03/2006 | A(9) | 1,299 | 11/03/2006 | 02/18/2008 | Common Stock | 1,299 | $ 0 | 1,299 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
KENT S BELASCO ONE PIERCE PLACE, SUITE 1500 ITASCA, IL 60143 |
EVP, Chief Information Officer |
By: Andrea L. Stangl, Attorney-in-fact for | 05/05/2006 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | The transaction represents the exercise of 724 stock options under the Omnibus Stock & Incentive Plan whereby 341 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 383 shares. |
(2) | The transaction represents the exercise of 2,173 stock options under the Omnibus Stock & Incentive Plan whereby 1,299 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 874 shares. |
(3) | Between September 3, 2005 and May 5, 2006 the reporting person acquired 432 shares of First Midwest common stock pursuant to the dividend reinvestment feature under the First Midwest Bancorp, Inc. Non-Qualified Gain Deferral Plan. The information in this report is based on a plan statement dated April 19, 2006. |
(4) | Between September 3, 2005 and May 5, 2006 the reporting person acquired 166 shares of First Midwest Bancorp, Inc. common stock under the First Midwest Bancorp, Inc. Savings and Profit Sharing Plan. The information in this report is based on a plan statement dated May 3, 2006. |
(5) | Between September 3, 2005 and May 5, 2006 the reporting person acquired 95 shares of First Midwest common stock pursuant to the dividend reinvestment feature under the First Midwest Bancorp, Inc. Savings and Profit Sharing Plan. The information in this report is based on a plan statement dated April 27, 2006. |
(6) | The stock option vests in two equal annual installments beginning on February 19, 1999. |
(7) | The transaction represents a reload stock option granted under the Omnibus Stock & Incentive Plan to replace the number of shares tendered in the option exercised on May 3, 2006. |
(8) | The stock option vests in two equal annual installments beginning on February 18, 2000. |
(9) | The transaction represents a reload stock option granted under the Omnibus Stock & Incentive Plan to replace the number of shares tendered in the option exercised on May 3, 2006. |