-----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, KYhUnrT4kVfxHcv/crAWapcIIfLQd6RIhmJdYJuu3nhzOdLXGbNcMoNpFLErjwoK 0Um7nBb3K7LlgagekZp8YQ== 0000700565-03-000238.txt : 20031218 0000700565-03-000238.hdr.sgml : 20031218 20031218113228 ACCESSION NUMBER: 0000700565-03-000238 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031216 FILED AS OF DATE: 20031218 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: ALLENBAUGH LAUREL G CENTRAL INDEX KEY: 0001185501 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 031061524 BUSINESS ADDRESS: STREET 1: 1515 CHARLESTON AVE CITY: MATTOON STATE: IL ZIP: 61938 BUSINESS PHONE: 2172580610 MAIL ADDRESS: STREET 1: 3015 WESTERN AVE CITY: MATTOON STATE: IL ZIP: 61938 4 1 form4_allenbaugh-121603ex.xml X0201 4 2003-12-16 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH.OB 0001185501 ALLENBAUGH LAUREL G 3015 WESTERN AVE MATTOON IL 61938 0 1 0 0 Vice President Common Stock 508.558 I By 401K Stock Options 18.83 2002-01-01 2010-12-18 Common Stock 1500 1500 D Stock Options 24.00 2003-01-01 2011-12-18 Common Stock 1500 3000 D Stock Options 27.25 2004-01-01 2012-12-16 Common Stock 1500 4500 D Stock Option 46.50 2003-12-16 4 A 0 1500 A 2005-01-01 2013-12-16 Common Stock 1500 6000 D Options become exercisable in 4 equal annual installments beginning on 01/01/2002. Options become exercisable in 4 equal annual installments beginning on 01/01/2003. Options become exercisable in 4 equal annual installments beginning on 01/01/2004. Options become exercisable in 4 equal annual installments beginning on 01/01/2005. Not Applicable William S. Rowland, Pursuant to a Power of Attorney filed on 12/19/2002. 2003-12-17 -----END PRIVACY-ENHANCED MESSAGE-----