-----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, KNI974RoyiZtWHgLcV4g9vQQ2g2lqH5etwW5Ddeov4huStNcqb/TSqowNu0TMuLJ iJ0HOOCX4Bln9blbsEg+mg== 0000700565-03-000143.txt : 20030806 0000700565-03-000143.hdr.sgml : 20030806 20030806103456 ACCESSION NUMBER: 0000700565-03-000143 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030804 FILED AS OF DATE: 20030806 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: MARVIN DANIEL E JR CENTRAL INDEX KEY: 0001186266 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 03825264 BUSINESS ADDRESS: STREET 1: 12 ST ANDREWS PLACE CITY: MATTOON STATE: IL ZIP: 61938 BUSINESS PHONE: 2172352015 MAIL ADDRESS: STREET 1: 12 ST ANDREWS PLACE CITY: MATTOON STATE: IL ZIP: 61938 4 1 form4_marvin-080503ex.xml X0201 4 2003-08-04 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH.OB 0001186266 MARVIN DANIEL E JR 12 ST ANDREWS PLACE MATTOON IL 61938 1 0 0 0 Common Stock 2003-08-04 4 S 0 2878 38.25 D 3612 I By Wife Common Stock 2003-08-05 4 M 0 5250 15.67 A 25232 D Common Stock 4464.444 I Deferred Comp Common Stock 15637.882 I IRA Common Stock 2003-06-13 5 J 0 13.286 29.20 A 1565.144 I Custodian for minor grandchildren Stock Option 15.67 2003-08-05 4 M 0 5250 15.67 D 1998-10-21 2007-10-21 Common Stock 5250 17000 D Shares purchased through the Company's dividend reinvestment plan with dividends paid on shares of common stock held. Michael L. Taylor, pursuant to a Power of Attorney filed on 11/01/02 2003-08-06 -----END PRIVACY-ENHANCED MESSAGE-----