-----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, U+ry31W1IDEvKm6YjPvK+RlkMua3sPlj7dgL0HE7be7mz5ojfUhf7odxKbmuzngk dUFmZxUlnh7mjhclFfrCYw== 0000700565-04-000012.txt : 20040102 0000700565-04-000012.hdr.sgml : 20040101 20040102104145 ACCESSION NUMBER: 0000700565-04-000012 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040102 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: PRESTON SARA JANE CENTRAL INDEX KEY: 0001185510 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 04500334 BUSINESS ADDRESS: STREET 1: 2230 SENECA CITY: CHARLESTON STATE: IL ZIP: 61920 BUSINESS PHONE: 2173453780 MAIL ADDRESS: STREET 1: 2230 SENECA CITY: CHARLESTON STATE: IL ZIP: 61920 4 1 form4_preston-123103ex.xml X0201 4 2003-12-31 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC fmbh.ob 0001185510 PRESTON SARA JANE 2230 SENECA CHARLESTON IL 61920 1 0 0 0 Common Stock 2950 D Common Stock 2003-12-31 4 P 0 87.515 46.90 A 1223.775 I By Deferred Comp Stock Option 18.83 2000-12-18 2010-12-18 Common Stock 750 750 D Stock Option 24.00 2001-12-18 2011-12-18 Common Stock 1000 1750 D Stock Option 27.25 2002-12-16 2012-12-16 Common Stock 1000 2750 D Stock Option 46.50 2003-12-16 2013-12-16 Common Stock 1500 4250 D Michael L. Taylor, pursuant to a power of attorney filed 11/1/02 2004-01-02 -----END PRIVACY-ENHANCED MESSAGE-----