DIETRICH MARK M 4

4 · FIRST MIDWEST BANCORP INC · Filed Dec 20, 2004

Insider Transaction Report

Form 4

Period: 2004-12-17

FIRST MIDWEST BANCORP INCFMBI

DIETRICH MARK M

EVP, First Midwest Bank

Transactions

Tax Payment
Common Stock
2004-12-17−1,142→ 7,170 total(indirect: By NQ Stock Option Gain Deferral Plan Tr)
Award
Non-Qualified Stock Option (right to buy)
2004-12-17+642→ 642 total
Exercise: $36.37From: 2005-01-15Exp: 2005-02-15→ Common Stock (642 underlying)
Award
Non-Qualified Stock Option (right to buy)
2004-12-17+1,142→ 1,142 total
Exercise: $36.37From: 2005-01-15Exp: 2005-02-15→ Common Stock (1,142 underlying)
Exercise/Conversion
Common Stock
2004-12-17$22.73/sh+1,027$23,339→ 7,766 total(indirect: By NQ Stock Option Gain Deferral Plan Tr)
Exercise/Conversion
Common Stock
2004-12-17$34.93/sh+1,188$41,497→ 8,954 total(indirect: By NQ Stock Option Gain Deferral Plan Tr)
Exercise/Conversion
Non-Qualified Stock Option (right to buy)
2004-12-17$34.93/sh−1,188$41,497→ 0 total
Exercise: $34.93From: 2004-12-17Exp: 2005-02-15→ Common Stock (1,188 underlying)
Tax Payment
Common Stock
2004-12-17−642→ 8,312 total(indirect: By NQ Stock Option Gain Deferral Plan Tr)
Exercise/Conversion
Non-Qualified Stock Option (right to buy)
2004-12-17$22.73/sh−1,027$23,339→ 0 total
Exercise: $22.73From: 2001-07-04Exp: 2005-02-15→ Common Stock (1,027 underlying)

Holdings

Common Stock
1,875
Common Stock
(indirect: By Trust)
11,766

Footnotes (6)

[F1]The transaction represents the exercise of 1,027 stock options under the Omnibus Stock & Incentive Plan whereby 642 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 385 shares.
[F2]The transaction represents the exercise of 1,188 stock options under the Omnibus Stock & Incentive Plan whereby 1,142 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 46 shares.
[F3]Between May 21, 2004 to December 17, 2004 the reporting person acquired 84 shares of the 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 October 25, 2004.
[F4]Between June 22, 2004 and December 17, 2004 the reporting person acquired 26 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 December 1, 2004.
[F5]Between May 21, 2004 and December 17, 2004 the reporting person acquired 235 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 October 25, 2004.
[F6]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 12/17/04.

Documents

1 file

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die269.xmlPrimary