-----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, Hi6lUSc/RWJk7LHRPLcBeAxhD0pYcZJm7s+NPAMl7k2eCMbWk3PRx0wG0Nwe/06t fUfrZhpCyYy/jDAyQxVvdg== 0001140361-07-023888.txt : 20071210 0001140361-07-023888.hdr.sgml : 20071210 20071210164801 ACCESSION NUMBER: 0001140361-07-023888 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: GRISSOM STEVEN L CENTRAL INDEX KEY: 0001073304 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 071296195 BUSINESS ADDRESS: STREET 1: C/O CONSOLIDATED COMMUNICATIONS INC STREET 2: 121 S 17TH ST CITY: MATTOON STATE: IL ZIP: 61938 BUSINESS PHONE: 2172354410 MAIL ADDRESS: STREET 1: CONSOLIDATED COMMUNICATIONS INC STREET 2: 121 S 17TH ST 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 0001073304 GRISSOM STEVEN L C/O CONSOLDIATED COMMUNICATIONS 121 S. 17TH STREET MATTOON IL 61938 1 0 0 0 Common Stock 39205.00 D Common Stock 191974.00 I By trust Common Stock 191974.00 I By trust Stock Option 8.37 2000-12-18 2010-12-18 Common Stock 1687.50 1687.50 D Stock Option 10.67 2001-12-18 2011-12-18 Common Stock 2250.00 3937.50 D Stock Option 12.11 2002-12-16 2012-12-16 Common Stock 2250.00 6187.50 D Stock Option 20.67 2003-12-16 2013-12-16 Common Stock 3375.00 9562.50 D Stock Option 27.33 2004-12-14 2014-12-14 Common Stock 3375.00 12937.50 D The 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 12/19/2002. 2007-12-10 -----END PRIVACY-ENHANCED MESSAGE-----