-----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, QkPbYaJu2iRFlHXKcX5wjTDA2xl2SxlUONaFTZyHFIg7ALFZVj+BGLjIgMP+aTOR p6Uocmt4zHofp7VILYzKxg== 0000700565-04-000194.txt : 20041216 0000700565-04-000194.hdr.sgml : 20041216 20041216144514 ACCESSION NUMBER: 0000700565-04-000194 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041214 FILED AS OF DATE: 20041216 DATE AS OF CHANGE: 20041216 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: 041207819 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-121404ex.xml X0202 4 2004-12-14 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 9948.459 D Common Stock 3392.208 I By IRA Common Stock 7276.384 I By 401K Common Stock 2205.111 I By Deferred Comp Stock Option 10.45 2000-10-21 2007-10-21 Common Stock 2250 2250 D Stock Options 14.99 1999-01-01 2008-01-12 Common Stock 2250 4500 D Stock Options 15.56 2000-01-01 2008-12-22 Common Stock 2250 6750 D Stock Options 15.33 2001-01-01 2009-12-13 Common Stock 2250 9000 D Stock Options 12.56 2002-01-01 2010-12-18 Common Stock 3375 12375 D Stock Options 16.00 2003-01-01 2011-12-18 Common Stock 3375 15750 D Stock Options 18.17 2004-01-01 2012-12-16 Common Stock 3375 19125 D Stock Option 31.00 2005-01-01 2013-12-16 Common Stock 3375 22500 D Stock Option 41.00 2004-12-14 4 A 0 3375 A 2006-01-01 2014-12-14 Common Stock 3375 25875 D Options become exerciseable in 2 equal annual installments beginning on 10/21/2000. 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. Options become exerciseable in 4 equal annual installments beginning on 01/01/2006. N/A Michael L. Taylor, Pursuant to a Power of Attorney filed on 12/19/2002. 2004-12-16 -----END PRIVACY-ENHANCED MESSAGE-----