-----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, LCUF3JZkYsWzdKc1Dz9vUlaT1rJ3D1PLLWs7ozE9FPyKaxQUwyBE4NC9HoGMQVUh Js/3n8//mt+VV1f3AaX73Q== 0001140361-07-023898.txt : 20071210 0001140361-07-023898.hdr.sgml : 20071210 20071210165505 ACCESSION NUMBER: 0001140361-07-023898 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: SPARKS RAY A CENTRAL INDEX KEY: 0001012163 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 071296295 BUSINESS ADDRESS: STREET 1: 30 S COUNTY CLUB ROAD CITY: MATTOON STATE: IL ZIP: 61938 BUSINESS PHONE: 2172588741 MAIL ADDRESS: STREET 1: 30 S COUNTRY CLUB RD 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 0001012163 SPARKS RAY A 30 S COUNTRY CLUB ROAD MATTOON IL 61938 1 0 0 0 Common Stock 8595.00 I By Spouse Common Stock 86523.00 I By Sparks Investment Group Common Stock 1822.00 I By Child Stock Option 27.33 2004-12-14 2014-12-14 Common Stock 3375.00 3375.00 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 on 09/06/02. 2007-12-10 -----END PRIVACY-ENHANCED MESSAGE-----