-----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, DPXbRUk2R76YvF4vncC3ZxYqh99tqwuVZbw7g2xHUfLxdscfQrAnURLC/Me9JfRR 7GT+BSh8wsGi14VeOsDq+A== 0000700565-04-000138.txt : 20040716 0000700565-04-000138.hdr.sgml : 20040716 20040716163856 ACCESSION NUMBER: 0000700565-04-000138 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040716 ITEM INFORMATION: Other events FILED AS OF DATE: 20040716 FILER: 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 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 04918415 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 8-K 1 form8k_071604.txt 50% STOCK DIVIDEND UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 8-K CURRENT REPORT Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934 Date of Report (Date of Earliest Event Reported): JULY 16, 2004 FIRST MID-ILLINOIS BANCSHARES, INC. (Exact Name of Registrant as Specified in its Charter) DELAWARE (State of Other Jurisdiction of Incorporation) 0-13368 37-1103704 (Commission File Number) (IRS Employer Identification No.) 1515 CHARLESTON AVENUE, MATTOON, IL 61938 (Address Including Zip Code of Principal Executive Offices) (217) 234-7454 (Registrant's Telephone Number, including Area Code) Item 5. Other Events Pursuant to Rule 416 under the Securities Act of 1933 (the "Securities Act"), the number of shares of Common Stock of the Registrant registered for sale under the Securities Act by the following Registration Statements on Forms S-3 and S-8, which remain unsold as of July 16, 2004, have been deemed to be increased accordingly to reflect a three-for-two stock split in the form of a 50% stock dividend effected on July 16, 2004. Registration Statement on Form S-3 (Reg. No. 333-81850) filed with the Securities and Exchange Commission (the "SEC") on January 31, 2002. Registration Statement on Form S-8 (Reg. No. 333-81852) filed with the SEC on January 31, 2002. Registration Statement on Form S-8 (Reg. No. 333-69673) filed with the SEC on December 23, 1998. Registration Statement on Form S-8 (Reg. No. 33-64139) filed with the SEC on November 13, 1995. Registration Statement on Form S-8 (Reg. No. 33-64061) filed with the SEC on November 8, 1995. Registration Statement on Form S-3 (Reg. No. 33-84404) filed with the SEC on September 23, 1994. SIGNATURE Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned hereunto duly authorized. FIRST MID-ILLINOIS BANCSHARES, INC. Dated: July 16, 2004 By: /s/ William S. Rowland William S. Rowland President and Chief Executive Officer -----END PRIVACY-ENHANCED MESSAGE-----