-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, G1qFzswJsjPJe9bzRGsVRRlpquwQkDC35mkXUcr3x4WOiNzqLhYFYrGyoH7t8gBG qZ/jl/ufIx+xOTAQ8gd1yA== 0000700565-03-000114.txt : 20030603 0000700565-03-000114.hdr.sgml : 20030603 20030603130456 ACCESSION NUMBER: 0000700565-03-000114 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030602 FILED AS OF DATE: 20030603 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIRST MID ILLINOIS BANCSHARES INC CENTRAL INDEX KEY: 0000700565 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 371103704 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1515 CHARLESTON AVE STREET 2: PO BOX 499 CITY: MATTOON STATE: IL ZIP: 61938 BUSINESS PHONE: 2172347454 MAIL ADDRESS: STREET 1: 1515 CHARLESTON AVENUE STREET 2: PO BOX 499 CITY: MATTOON STATE: IL ZIP: 61938 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BURICH CHRISTIE L CENTRAL INDEX KEY: 0001185503 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 03729703 BUSINESS ADDRESS: STREET 1: 1515 CHARLESTON AVE CITY: MATTOON STATE: IL ZIP: 61938 BUSINESS PHONE: 2172580493 MAIL ADDRESS: STREET 1: 11 OAK POINTE DRIVE CITY: NEOGA STATE: IL ZIP: 62447 4 1 form4_burich-060203ex.xml X0101 4 2003-06-02 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH.OB 0001185503 BURICH CHRISTIE L 0 1 0 0 Vice President Common Stock 2003-06-02 4 P 0 375 24.00 A 375 D Stock Option 24.00 2003-06-02 4 X 0 375 24.00 D 2003-01-01 2011-12-18 Common Stock 375 2625 D Options become exercisable in 4 equal annual installments beginning 1/1/03. Christie L. Burich 2003-06-02 -----END PRIVACY-ENHANCED MESSAGE-----