-----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, HEgjvAOZ4kUTSnavfsw1t8bGi6SvIt07AiXMBl5U3bbgY3SZTirfhjbmE6Ud1Vk6 RPNBJTCz8IsrRAfdAUddpg== 0000895813-09-000163.txt : 20090924 0000895813-09-000163.hdr.sgml : 20090924 20090924110431 ACCESSION NUMBER: 0000895813-09-000163 CONFORMED SUBMISSION TYPE: 15-12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20090924 DATE AS OF CHANGE: 20090924 EFFECTIVENESS DATE: 20090924 FILER: 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: 0211 FILING VALUES: FORM TYPE: 15-12G SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 091083975 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 15-12G 1 x923-f15.txt UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D. C. 20549 FORM 15 CERTIFICATION AND NOTICE OF TERMINATION OF REGISTRATION UNDER SECTION 12(g) OF THE SECURITIES EXCHANGE ACT OF 1934 OR SUSPENSION OF DUTY TO FILE REPORTS UNDER SECTIONS 13 AND 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934. Commission File Number: 0-13368 FIRST MID-ILLINOIS BANCSHARES, INC. (Exact name of registrant as specified in its charter) 1515 Charleston Avenue Mattoon, Illinois 61938 (217) 234-7454 (Address, including zip code, and telephone number, including area code, of registrant's principal executive offices) COMMON STOCK PURCHASE RIGHTS* (Title of each class of securities covered by this Form) COMMON STOCK, $4.00 PAR VALUE PER SHARE COMMON STOCK PURCHASE RIGHTS** (Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains) Please place an X in the box(es) to designate the appropriate rule provision(s) relied upon to terminate or suspend the duty to file reports: Rule 12g-4(a)(1) [X] Rule 12h-3(b)(1)(ii) [ ] Rule 12g-4(a)(2) [ ] Rule 15d-6 [ ] Rule 12h-3(b)(1)(i) [X] Approximate number of holders of record as of the certification or notice date: 0 Pursuant to the requirements of the Securities Exchange Act of 1934, First-Mid Illinois Bancshares, Inc. has caused this certification/ notice to be signed on its behalf by the undersigned duly authorized person. Date: September 24, 2009 FIRST-MID ILLINOIS BANCSHARES, INC. By: /s/ William S. Rowland --------------------------------- William S. Rowland President and Chief Executive Officer * The Common Stock Purchase Rights expired on September 21, 2009, pursuant to the terms of the Rights Agreement, dated as of September 21, 1999, between First Mid-Illinois Bancshares, Inc. and Harris Trust and Savings Bank, as Rights Agent. ** Issued pursuant to that certain Rights Agreement, dated as of September 22, 2009, between First Mid-Illinois Bancshares, Inc. and Computershare Trust Company, N.A., as Rights Agent. -----END PRIVACY-ENHANCED MESSAGE-----