SEC FORM 4 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*
HOLSCHBACH LEON J

(Last) (First) (Middle)
1201 NETWORK CENTRE DR.

(Street)
EFFINGHAM IL 62401

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Midland States Bancorp, Inc. [ MSBI ]
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)
06/30/2019
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 07/01/2019 M 6,920 A $15.2 158,515(1) D
Common Stock 07/01/2019 M 2,580 A $16 161,095(1) D
Common Stock 07/01/2019 S 9,500 D $26.669(2) 151,595(1) 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
Option (right to buy) $16 07/01/2019 M 2,580 (3) 12/13/2022 Common Stock 2,580 $0 11,492 D
Option (right to buy) $15.2 07/01/2019 M 6,920 (4) 12/31/2019 Common Stock 6,920 $0 0 D
Common Share Equivalent (5) 06/30/2019 A 38.5757 (5)(6) (5)(6) Common Stock 38.5757 $26.72(6) 4,290.8159 D
Restricted Stock Unit (7) 06/30/2019 A 825 (7) (7) Common Stock 825 $0 825 D
Option (right to buy) $18.16 (8) 12/06/2020 Common Stock 11,820 11,820 D
Option (right to buy) $16.59 (9) 12/10/2023 Common Stock 16,274 16,274 D
Option (right to buy) $21 (10) 12/02/2024 Common Stock 22,762 22,762 D
Option (right to buy) $18 (11) 08/05/2024 Common Stock 90,000 90,000 D
Explanation of Responses:
1. Includes holdings through a self-directed IRA or revocable grantor trust
2. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $26.37 - 26.93 inclusive. The reporting person undertakes to provide to Midland States Bancorp, Inc., any security holder of the Issuer or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each price within the ranges set forth in this footnote.
3. These options vest in four equal annual installments beginning one year after the 12/13/2012 date of grant.
4. These options vest in four equal annual installments beginning one year after the 12/31/2009 date of grant.
5. Each common stock equivalent is the economic equivalent of one share of common stock.
6. Represents common share equivalents acquired by the reporting person in the DDCP pursuant to the reinvestment of dividends received during the quarter on common share equivalents held in the DDCP by the reporting person at the time such dividend was paid on the underlying shares, based upon closing price of the underlying shares on the last day of the quarter. Common share equivalents received for dividend reinvestments fully vested on the transaction date listed above and become payable upon termination of service as a director.
7. Represents restricted stock units acquired by the reporting person under the 2019 Long-Term Incentive Plan on the grant date. Each restricted stock unit is the contingent right to receive one share of Issuer common stock. Restricted stock units vest on March 31, 2020 and vested shares will be delivered to the reporting person within 30 days of vesting.
8. These options vest in four equal annual installments beginning one year after the 12/06/2010 date of grant.
9. These options vest in four equal annual installments beginning one year after the 12/10/2013 date of grant.
10. These options vest in four equal annual installments beginning one year after the 12/02/2014 date of grant.
11. Options vested on 12/31/2017.
Remarks:
/s/ Holschbach Leon J 07/02/2019
/s/ Douglas J. Tucker, attorney-in-fact 07/02/2019
** 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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