-----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, ByvWKuf3sJC0s2NWS6cXurghN+nGwBX+xo/vl1n1K3ayLtQlkU3KAwfEvL9tg/0o 9GpJYKMitLn3JTRPGqZ74A== 0000700565-04-000129.txt : 20040701 0000700565-04-000129.hdr.sgml : 20040701 20040701094510 ACCESSION NUMBER: 0000700565-04-000129 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040630 FILED AS OF DATE: 20040701 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: GILLILAND STANLEY E CENTRAL INDEX KEY: 0001185491 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 04893083 BUSINESS ADDRESS: STREET 1: 1515 CHARLESTON AVE CITY: MATTOON STATE: IL ZIP: 61938 BUSINESS PHONE: 2172580484 MAIL ADDRESS: STREET 1: 27 S COUNTRY CLUB ROAD CITY: MATTOON STATE: IL ZIP: 61938 4 1 form4_gilliland-063004ex.xml X0202 4 2004-06-30 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH.OB 0001185491 GILLILAND STANLEY E 27 S. COUNTRY CLUB ROAD MATTOON IL 61938 0 1 0 0 Vice President Common Stock 2004-01-09 5 J 0 43.490 46.50 A 5099.168 D Common Stock 2004-01-09 5 J 0 191.162 46.50 A 2246.724 I By IRA Common Stock 7276.384 I By 401K Common Stock 2004-01-09 5 J 0 12.456 46.50 A 1460.487 I By Deferred Comp Stock Option 15.67 1998-10-21 2007-10-21 Common Stock 3000 3000 D Stock Options 22.49 1999-01-01 2008-01-12 Common Stock 1500 4500 D Stock Options 23.33 2000-01-01 2008-12-22 Common Stock 1500 6000 D Stock Options 23.00 2001-01-01 2009-12-13 Common Stock 1500 7500 D Stock Options 18.83 2002-01-01 2010-12-18 Common Stock 2250 9750 D Stock Options 24.00 2003-01-01 2011-12-18 Common Stock 2250 12000 D Stock Options 27.25 2004-01-01 2012-12-16 Common Stock 2250 14250 D Stock Option 46.50 2005-01-01 2013-12-16 Common Stock 2250 16500 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. Shares purchased through the company's dividend reinvestment plan with dividends paid on shares of common stock held. Michael L. Taylor, Pursuant to a Power of Attorney filed on 12/19/2002. 2004-07-01 -----END PRIVACY-ENHANCED MESSAGE-----