-----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, T/4AkbpWJzPz7keH7B13qdUGZFfd95CoZxVtyxkhm79ouwjHjGaKvl8JuvuJZbW/ JccFAJugVwGP85XiCj01fw== 0000700565-05-000067.txt : 20050301 0000700565-05-000067.hdr.sgml : 20050301 20050301121949 ACCESSION NUMBER: 0000700565-05-000067 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: SWIFT ROBERT J CENTRAL INDEX KEY: 0001185504 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 05648869 BUSINESS ADDRESS: STREET 1: 1515 CHARLESTON AVE CITY: MATTOON STATE: IL ZIP: 61938 BUSINESS PHONE: 2172580652 MAIL ADDRESS: STREET 1: 6807 N COUNTRY CLUB ROAD CITY: MATTOON STATE: IL ZIP: 61938 4 1 form4_swift-022805ex.xml ROBERT J. SWIFT, JR. FORM 4 X0202 4 2005-02-28 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH.OB 0001185504 SWIFT ROBERT J 6807 N COUNTRY CLUB ROAD MATTOON IL 61938 0 1 0 0 EVP for Trust Common Stock 1211.263 I By 401K Common Stock 2005-01-07 5 J 0 7.516 41.00 A 1291.539 I By Deferred Comp Common Stock 2005-02-28 4 P 0 11.947 40.55 A 1303.486 I By Deferred Comp Stock Options 16.00 2006-01-01 2011-12-18 Common Stock 843.75 843.75 D Stock Options 18.17 2006-01-01 2012-12-16 Common Stock 1687.50 2531.25 D Stock Options 31.00 2006-01-01 2013-12-16 Common Stock 2531.25 5062.50 D Stock Options 41.00 2006-01-01 2014-12-14 Common Stock 3375 8437.50 D Options become exercisable in 2 equal annual installments beginning on 1/1/2006. Options become exercisable in 3 equal annual installments beginning on 1/1/2006. Options become exercisable in 4 equal annual installments beginning on 1/1/2006. 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 11/1/2002. 2005-03-01 -----END PRIVACY-ENHANCED MESSAGE-----