-----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, Hr3UiiX0NFXdOVj7uJTkcXruCLvqnUA0xgfNjquOg18NUVsSw2evGSQBaPDxC3V5 6z09CO/ki17NXyyD41aL3w== 0000700565-04-000082.txt : 20040405 0000700565-04-000082.hdr.sgml : 20040405 20040405155301 ACCESSION NUMBER: 0000700565-04-000082 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040331 FILED AS OF DATE: 20040405 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 FORMER COMPANY: FORMER CONFORMED NAME: FIRST-MID ILLINOIS BANCSHARES INC DATE OF NAME CHANGE: 19920703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROWLAND WILLIAM S CENTRAL INDEX KEY: 0001185508 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 04717526 BUSINESS ADDRESS: STREET 1: 1515 CHARLESTON AVE CITY: MATTOON STATE: IL ZIP: 61938 BUSINESS PHONE: 2172580415 MAIL ADDRESS: STREET 1: #1 PRAIRIE SUN LANE CITY: MATTOON STATE: IL ZIP: 61938 4 1 form4_rowland-033104ex.xml X0201 4 2004-03-31 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH.OB 0001185508 ROWLAND WILLIAM S # 1 PRAIRIE SUN LANE MATTOON IL 61938 0 1 0 0 Pres & Chief Executive Officer Common Stock 10895.672 I By IRA Common Stock 3564.694 I By 401K Common Stock 414.677 D Common Stock 2004-03-31 4 P 0 64.533 46.50 A 2541.979 I By Deferred Comp Stock Option 15.67 1998-10-21 2007-10-21 Common Stock 6000 6000 D Stock Option 22.49 1999-10-01 2008-01-12 Common Stock 3000 9000 D Stock Option 23.33 2000-01-01 2008-12-22 Common Stock 3000 12000 D Stock Option 23.00 2001-01-01 2009-12-13 Common Stock 8250 20250 D Stock Option 18.83 2002-01-01 2010-12-18 Common Stock 3750 24000 D Stock Option 24.00 2003-01-01 2011-12-18 Common Stock 9000 33000 D Stock Option 27.25 2004-01-01 2012-12-16 Common Stock 8000 41000 D Stock Option 46.50 2005-01-01 2013-12-16 Common Stock 8000 49000 D Options become exerciseable in 4 equal annual installments beginning on 10/21/1998. Options become exerciseable in 4 equal annual installments beginning on 01/01/1999. Options become exerciseable in 4 equal annual installments beginning on 01/01/2000. Options become exerciseable in 4 equal annual installments beginning on 01/01/2001. Options become exerciseable in 4 equal annual installments beginning on 01/01/2002. Options become exerciseable in 4 equal annual installments beginning on 01/01/2003. Options become exerciseable in 4 equal annual installments beginning on 01/01/2004. Options become exerciseable in 4 equal annual installments beginning on 01/01/2005. William S. Rowland 2004-04-05 -----END PRIVACY-ENHANCED MESSAGE-----