-----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, VIPxWC/pYPthLmQwcD4ud05Q9kYnLV3opeD3lZdXeJs9zuwFzqwyr1zz5p+oTB/r v6T0JrzCfVQtJ+XmhEuLUQ== 0000700565-04-000018.txt : 20040102 0000700565-04-000018.hdr.sgml : 20040101 20040102104814 ACCESSION NUMBER: 0000700565-04-000018 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: SWIFT ROBERT J CENTRAL INDEX KEY: 0001185504 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 04500350 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-123103ex.xml X0201 4 2003-12-31 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC fmbh.ob 0001185504 SWIFT ROBERT J 6807 N COUNTRY CLUB RD MATTOON IL 61938 0 1 0 0 EVP for Trust Common Stock 599.255 I By 401K Common Stock 2003-12-31 4 P 0 42.757 46.90 A 725.438 I By Deferred Comp Stock Option 18.83 2004-01-01 2010-12-18 Common Stock 1125 1125 D Stock Option 24 2004-01-01 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 Stock Option 46.50 2005-01-01 2013-12-16 Common Stock 2250 7312.5 D Options become exercisable in 2 equal annual installments beginning on 1/1/2004. Options become exercisable in 3 equal annual installments beginning on 1/1/2004. Options become exercisable in 4 equal annual installments beginning on 1/1/2004. Options become exercisable in 4 equal annual installments beginning on 1/1/2005. Michael L. Taylor, pursuant to a power of attorney filed 11/01/2002 2004-01-02 -----END PRIVACY-ENHANCED MESSAGE-----