-----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, GusZpGIk5eJ3EEgPNFBYdIN2woOyEpfXJV7Eo8mroeoygxY9S/S4rjykwXqUtHl9 mSnWVp+2FEVdD9BcLVYH+w== 0000700565-05-000232.txt : 20051229 0000700565-05-000232.hdr.sgml : 20051229 20051229132355 ACCESSION NUMBER: 0000700565-05-000232 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051229 FILED AS OF DATE: 20051229 DATE AS OF CHANGE: 20051229 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: DOWNS KELLY A CENTRAL INDEX KEY: 0001233427 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 051290740 BUSINESS ADDRESS: STREET 1: 1515 CHARLESTON AVE CITY: MATTOON STATE: IL ZIP: 61938 BUSINESS PHONE: 2172580487 MAIL ADDRESS: STREET 1: 1 HANCE DRIVE CITY: CHARLESTON STATE: IL ZIP: 61920 4 1 form4_downs-122905ex.xml KELLY DOWNS, FORM 4 X0202 4 2005-12-29 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH.OB 0001233427 DOWNS KELLY A 1 HANCE DRIVE CHARLESTON IL 61920 0 1 0 0 VP, Director of Human Resource Common Stock 2005-02-28 5 P 0 5.165 41.00 A 252.929 I By 401K Common Stock 2005-03-11 5 P 0 .134 40.22 A 253.063 I By 401K Common Stock 2005-04-27 5 P 0 .5370 40.14 A 253.600 I By 401K Common Stock 2005-05-18 5 P 0 5.578 40.22 A 259.178 I By 401K Common Stock 2005-05-31 5 P 0 10.027 40.59 A 269.205 I By 401K Common Stock 2005-06-14 5 P 0 47.617 40.74 A 316.822 I By 401K Common Stock 2005-06-14 5 P 0 .611 40.75 A 317.433 I By 401K Common Stock 2005-06-21 5 J 0 1.585 40.75 A 319.018 I By 401K Common Stock 2005-07-07 5 P 0 1.81 40.59 A 320.828 I By 401K Common Stock 2005-08-16 5 P 0 11.165 40.26 A 331.993 I By 401K Common Stock 2005-09-22 5 P 0 3.941 41.71 A 335.934 I By 401K Common Stock 2005-09-23 5 P 0 .128 41.95 A 336.062 I By 401K Common Stock 2005-11-18 5 P 0 5.814 40.50 A 341.876 I By 401K Common Stock 2005-11-22 5 P 0 6.854 40.25 A 348.730 I By 401K Common Stock 2005-12-21 5 P 0 4.8420 41.06 A 353.572 I By 401K Stock Options 18.17 2006-01-01 2012-12-16 Common Stock 750 750 D Stock Options 31.00 2005-01-01 2013-12-16 Common Stock 1690 2440 D Stock Options 41.00 2006-01-01 2014-12-14 Common Stock 2250 4690 D Options become exercisable in 2 equal annual installments beginning on 1/1/2006. Options are exercisable as follows: 2.50 on 1/1/05; 562.50 on 1/1/06; 562.5 on 1/1/07; 562.5 on 1/1/08. 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 05/29/2003. 2005-12-29 -----END PRIVACY-ENHANCED MESSAGE-----