-----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, DRAHlC5xq+Sm2mg4sccedIG55g24amE0566RvPBnOe3AxgMI8RwAWek2wCZhWX2I 7tJ/ALlTKASH9/lg6cusLQ== 0000700565-03-000160.txt : 20030821 0000700565-03-000160.hdr.sgml : 20030821 20030821131904 ACCESSION NUMBER: 0000700565-03-000160 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030821 FILED AS OF DATE: 20030821 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: 03859687 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-082103ex.xml X0201 4 2003-08-21 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 1163.376 I Cust for Minor Grandchildren Common Stock 3612.00 I By Wife Common Stock 25232.00 D Common Stock 4502.668 I By Deferred Comp Common Stock 15755.682 I By IRA Stock Options 15.67 1998-10-21 2007-10-21 Common Stock 6000 6000 D Stock Options 22.49 1999-01-01 2008-01-12 Common Stock 3750 9750 D Stock Options 23.33 2000-01-01 2008-12-22 Common Stock 3750 13500 D Stock Options 23.00 1999-12-13 2009-12-13 Common Stock 750 14250 D Stock Options 18.83 2000-12-18 2010-12-18 Common Stock 750 15000 D Stock Options 24.00 2001-12-18 2011-12-18 Common Stock 1000 16000 D Stock Options 27.25 2002-12-16 2012-12-16 Common Stock 1000 17000 D OPTIONS BECOME EXERCISABLE IN 4 EQUAL ANNUAL INSTALLMENTS BEGINNING ON 10/21/1998. OPTIONS BECOME EXERCISABLE IN 4 EQUAL ANNUAL INSTALLMENTS BEGINNING ON 1/1/1999. OPTIONS BECOME EXERCISABLE IN 4 EQUAL ANNUAL INSTALLMENTS BEGINNING ON 1/1/2000. Michael L. Taylor, Pursuant to a Power of Attorney filed on 11/01/2002. 2003-08-21 -----END PRIVACY-ENHANCED MESSAGE-----