-----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, GMUAgLenHO/ZuckuofCDyWihG8tUChOFSZzpGQ33OQBO+Uzx0/XBhkoNcgEWfgKk w1BHJLh3w8xGIkCtG2A2ag== 0000700565-03-000176.txt : 20030821 0000700565-03-000176.hdr.sgml : 20030821 20030821174733 ACCESSION NUMBER: 0000700565-03-000176 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: SWIFT ROBERT J CENTRAL INDEX KEY: 0001185504 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 03860949 BUSINESS ADDRESS: STREET 1: 1515 CHARLESTON AVE CITY: MATTOON STATE: IL ZIP: 61938 BUSINESS PHONE: 2172580652 MAIL ADDRESS: STREET 1: 6807 N COUNTRY CLUB ROAD CITY: MATTOON STATE: IL ZIP: 61938 4 1 form4_swift-082103ex.xml X0201 4 2003-08-21 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH.OB 0001185504 SWIFT ROBERT J 6807 N COUNTRY CLUB ROAD MATTOON IL 61938 0 1 0 0 EVP for Trust Common Stock 2003-06-13 5 J 0 5.353 29.20 A 630.607 I By Deferred Comp Common Stock 2003-05-14 5 P 0 40.610 28.95 A 594.241 I By 401K Common Stock 2003-06-13 5 J 0 5.014 29.20 A 599.255 I By 401K Stock Option 18.83 2002-01-01 2010-12-18 Common Stock 1125 1125 D Stock Option 24.00 2003-01-01 2011-12-18 Common Stock 1687.50 2812.50 D Stock Option 27.25 2004-01-01 2012-12-16 Common Stock 2250 5062.50 D Shares purchased through the Company's dividend reinvestment plan with dividends paid on shares of common stock held. Options become exerciseable in 4 equal annual installments beginning on 1/1/2002. Options become exerciseable in 4 equal annual installments beginning on 1/1/2003. Options become exerciseable in 4 equal annual installments beginning on 1/1/2004. Michael L. Taylor, Pursuant to a Power of Attorney filed on 11/01/2002. 2003-08-21 -----END PRIVACY-ENHANCED MESSAGE-----