-----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, Khnj5x/kE2EvcSOIyFpRaqPa7RZsSBSqmyCsszMRePlAaThh2LcXoTO5TyO8dqB+ grht3ZG21eox6oLYzpxRxg== 0001140361-07-023877.txt : 20071210 0001140361-07-023877.hdr.sgml : 20071210 20071210164149 ACCESSION NUMBER: 0001140361-07-023877 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20071210 FILED AS OF DATE: 20071210 DATE AS OF CHANGE: 20071210 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: ADAMS CHARLES A /TX CENTRAL INDEX KEY: 0001185704 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 071296136 BUSINESS ADDRESS: STREET 1: 1020 N 13TH STREET CITY: MATTOON STATE: IL ZIP: 61938 BUSINESS PHONE: 217234-8877 MAIL ADDRESS: STREET 1: 21 ST. ANDREWS PLACE CITY: MATTOON STATE: IL ZIP: 61938 4 1 doc1.xml FORM 4 X0202 4 2007-12-10 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH.OB 0001185704 ADAMS CHARLES A /TX 1020 N 13TH STREET MATTOON IL 61938 1 0 0 0 Stock Option 27.33 2004-12-14 2014-12-14 Common Stock 3375 3375 D The price and balance of securities owned has been adjusted to reflect a 3 for 2 stock split that occurred on June 29, 2007. Michael L. Taylor, pursuant to a power of attorney filed on 11/01/2002. 2007-12-10 -----END PRIVACY-ENHANCED MESSAGE-----