-----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, Bbr/YS6Jt1T5ELUUJx97/ruFKtGyYw55w22KNyZ16YObAgRhTLSElfh1s/ZazSGF RtWRmx7KeNRob28hOA0T+w== 0000700565-03-000159.txt : 20030821 0000700565-03-000159.hdr.sgml : 20030821 20030821131801 ACCESSION NUMBER: 0000700565-03-000159 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030821 FILED AS OF DATE: 20030821 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LUMPKIN RICHARD ANTHONY CENTRAL INDEX KEY: 0000925184 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 03859685 BUSINESS ADDRESS: STREET 1: 121 SOUTH 17TH STREET CITY: MATTOON STATE: IL ZIP: 61938 MAIL ADDRESS: STREET 1: 121 SOUTH 17TH STREET CITY: MATTOON STATE: IL ZIP: 61938 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 4 1 form4_lumpkin-082103ex.xml X0201 4 2003-08-21 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH.OB 0000925184 LUMPKIN RICHARD ANTHONY 121 SOUTH 17TH STREET MATTOON IL 61938 1 0 1 0 Common Stock 2003-06-13 5 J 0 1427.386 29.20 A 168146.062 D Common Stock 2003-06-13 5 J 0 583.843 29.20 A 68776.739 I By SKL Investment Group R. A. Lumpkin voting member Common Stock 2003-06-13 5 J 0 171.450 29.20 A 20196.769 I By Deferred Comp Stock Option 15.67 1997-10-21 2007-10-21 Common Stock 750 750 D Stock Options 22.49 1997-12-15 2008-01-12 Common Stock 750 1500 D Stock Options 23.33 1998-12-15 2008-12-22 Common Stock 750 2250 D Stock Options 23.00 1999-12-13 2009-12-13 Common Stock 750 3000 D Stock Options 18.83 2000-12-18 2010-12-18 Common Stock 750 3750 D Stock Options 24.00 2001-12-18 2011-12-18 Common Stock 1000 4750 D Stock Options 27.25 2002-12-16 2012-12-16 Common Stock 1000 5750 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 12/19/2002 2003-08-21 -----END PRIVACY-ENHANCED MESSAGE-----