-----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, RfjsjxtamxyuL9BlPnPii3SH2NYlj5XTFwCPByBODYEdBqsXt83MoC/uGlp83q+q ZbuQofgaFmEffdT54Jh7ew== 0001140361-08-001772.txt : 20080123 0001140361-08-001772.hdr.sgml : 20080123 20080123124702 ACCESSION NUMBER: 0001140361-08-001772 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20071231 FILED AS OF DATE: 20080123 DATE AS OF CHANGE: 20080123 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: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 08543979 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 5 1 doc1.xml FORM 5 X0202 5 2007-12-31 0 0 1 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH.OB 0001185704 ADAMS CHARLES A /TX 1020 N 13TH STREET MATTOON IL 61938 1 0 0 0 Common Stock 2007-12-17 4 G 0 L 4000 0.00 D 130543.055 D Michael L. Taylor, pursuant to a power of attorney filed on 11/01/02. 2008-01-23 -----END PRIVACY-ENHANCED MESSAGE-----