-----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, Sc98lTaTTYX7PaOyiJf/ZsSvmDojZqTHkMvMvrqBYqP+cQtsC08Jrzmtf8frT55e 6ppvEbW9Exl1jQu0eEXczQ== 0001140361-07-024096.txt : 20071212 0001140361-07-024096.hdr.sgml : 20071212 20071212162102 ACCESSION NUMBER: 0001140361-07-024096 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20071211 FILED AS OF DATE: 20071212 DATE AS OF CHANGE: 20071212 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: DOWNS KELLY A CENTRAL INDEX KEY: 0001233427 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 071302009 BUSINESS ADDRESS: STREET 1: 1515 CHARLESTON AVE CITY: MATTOON STATE: IL ZIP: 61938 BUSINESS PHONE: 2172580487 MAIL ADDRESS: STREET 1: 1 HANCE DRIVE CITY: CHARLESTON STATE: IL ZIP: 61920 4 1 doc1.xml FORM 4 X0202 4 2007-12-11 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH.OB 0001233427 DOWNS KELLY A 2000 MEADOWLAKE CHARLESTON IL 61920 0 1 0 0 VP, Director, Human Resources Stock Option 26.10 2007-12-11 4 A 0 1500.00 0.00 A 2009-01-01 2017-12-11 Common Stock 1500.00 1500.00 D Options become exercisable in 4 equal annual installments beginning on this date. William S. Rowland, pursuant to a power of attorney filed on 05/29/03. 2007-12-12 -----END PRIVACY-ENHANCED MESSAGE-----