-----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, LsTDj+0gSzyh2532krXo8EVJ7PUGi8Wtph48Iy5WJrBWRi7bhrzaMIa943yFZrS4 FnKkUbdw2ntyRJi/OXPJVw== 0000700565-05-000063.txt : 20050301 0000700565-05-000063.hdr.sgml : 20050301 20050301121539 ACCESSION NUMBER: 0000700565-05-000063 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050228 FILED AS OF DATE: 20050301 DATE AS OF CHANGE: 20050301 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: 05648853 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-022805ex.xml WILLIAM ROWLAND X0202 4 2005-02-28 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 5428.447 I By 401K Common Stock 16425.685 I By IRA Common Stock 2005-01-07 5 J 0 3.696 41.00 A 635.180 D Common Stock 2005-01-07 5 J 0 23.497 41.00 A 4037.578 I By Deferred Comp Common Stock 2005-02-28 4 P 0 .032 40.55 A 4037.610 I By Deferred Comp Stock Option 10.45 1998-10-21 2007-10-21 Common Stock 9000 9000 D Stock Option 14.99 1999-10-01 2008-01-12 Common Stock 4500 13500 D Stock Option 15.56 2000-01-01 2008-12-22 Common Stock 4500 18000 D Stock Option 15.33 2001-01-01 2009-12-13 Common Stock 12375 30375 D Stock Option 12.56 2002-01-01 2010-12-18 Common Stock 5625 36000 D Stock Option 16.00 2003-01-01 2011-12-18 Common Stock 13500 49500 D Stock Option 18.17 2004-01-01 2012-12-16 Common Stock 12000 61500 D Stock Option 31.00 2005-01-01 2013-12-16 Common Stock 12000 73500 D Stock Option 41.00 2006-01-01 2014-12-14 Common Stock 12000 85500 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. Options become exerciseable in 4 equal annual installments beginning on 01/01/2006. Shares acquired 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. 2005-03-01 -----END PRIVACY-ENHANCED MESSAGE-----