-----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, CCbHn68FRaVaMcltaePfIuuk1DK7B5HxoTFJ7QZeNX8PFYjW8zDz3kaTVnbflGdh auDqLSKgiYZfOOZmtA0LnQ== 0000700565-03-000239.txt : 20031218 0000700565-03-000239.hdr.sgml : 20031218 20031218113319 ACCESSION NUMBER: 0000700565-03-000239 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: DOWNS KELLY A CENTRAL INDEX KEY: 0001233427 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 031061526 BUSINESS ADDRESS: STREET 1: 1515 CHARLESTON AVE CITY: MATTOON STATE: IL ZIP: 61938 BUSINESS PHONE: 2172580487 MAIL ADDRESS: STREET 1: 1 HANCE DRIVE CITY: CHARLESTON STATE: IL ZIP: 61920 4 1 form4_downs-121603ex.xml X0201 4 2003-12-16 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH.OB 0001233427 DOWNS KELLY A 1 HANCE DRIVE CHARLESTON IL 61920 0 1 0 0 VP, Director of Human Resource Common Stock 224.20 I By 401K Stock Option 27.25 2004-01-01 2012-12-16 Common Stock 1000 1000 D Stock Option 46.50 2003-12-16 4 A 0 1500 A 2005-01-01 2003-12-16 Common Stock 1500 2500 D Options become exerciseable in 4 equal annual installments beginning on 1/1/2004. Options become exerciseable in 4 equal annual installments beginning on 1/1/2005. Not Applicable William S. Rowland, Pursuant to a Power of Attorney filed on 05/29/2003 2003-12-17 -----END PRIVACY-ENHANCED MESSAGE-----