-----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, KlqUmSzZEYi8beNPW8jgqKMgA0kChFD/QZ5LtskiGwDxstwVBdkncCjkBcdv1yWV N+N3k1H+lMm6VETZBP09Hg== 0000700565-06-000056.txt : 20060601 0000700565-06-000056.hdr.sgml : 20060601 20060601163032 ACCESSION NUMBER: 0000700565-06-000056 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060601 FILED AS OF DATE: 20060601 DATE AS OF CHANGE: 20060601 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: Dively Joseph R CENTRAL INDEX KEY: 0001301318 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 06880398 BUSINESS ADDRESS: BUSINESS PHONE: 217-348-1800 MAIL ADDRESS: STREET 1: 13179 E. COUNTY ROAD 720N CITY: CHARLESTON STATE: IL ZIP: 61920 4 1 form4_dively-060106ex.xml JOSEPH DIVELY X0202 4 2006-06-01 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001301318 Dively Joseph R 13179 E. COUNTY ROAD 720N CHARLESTON IL 61920 1 0 0 0 Common Stock 1818.524 D Common Stock 2006-06-01 4 P 0 163.105 40.10 A 870.299 I By Deferred Comp Stock Option 41.00 2004-12-14 2014-12-14 Common Stock 2250 2250 D Michael L. Taylor, pursuant to a Power of Attorney filed on 8/25/04. 2006-06-01 -----END PRIVACY-ENHANCED MESSAGE-----