-----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, I6sliAOsZ69drpVGkZ8vReEaNkYiJwKo8JE60kO5Zx2N7KxT525yOKN+TQk40G9d qdD4eguHZWfgyCfaxmen7g== 0001140361-08-014241.txt : 20080603 0001140361-08-014241.hdr.sgml : 20080603 20080603142637 ACCESSION NUMBER: 0001140361-08-014241 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080602 FILED AS OF DATE: 20080603 DATE AS OF CHANGE: 20080603 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: DIEPHOLZ KENNETH R CENTRAL INDEX KEY: 0001185511 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 08877056 BUSINESS ADDRESS: BUSINESS PHONE: 2173480141 MAIL ADDRESS: STREET 1: 1421 CROSS CREEK CITY: MATTOON STATE: IL ZIP: 61938 4 1 doc1.xml FORM 4 X0202 4 2008-06-02 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH.OB 0001185511 DIEPHOLZ KENNETH R 1421 CROSS CREEK MATTOON IL 61938 1 0 0 0 Common Stock 2008-06-02 4 M 0 1687.50 10.37 A 21569.50 D Common Stock 2008-06-02 4 M 0 1687.50 10.22 A 23257.00 D Common Stock 2008-06-03 4 S 0 3375.00 27.00 D 19882.00 D Stock Option 10.37 2008-06-02 4 M 0 1687.50 10.37 D 1998-01-01 2008-12-15 Common Stock 1687.50 14625.00 D Common Stock 10.22 2008-06-02 4 M 0 1687.50 10.22 D 1999-01-01 2009-12-13 Common Stock 1687.50 12937.5 D Michael L. Taylor, pursuant to a power of attorney filed 11/01/02. 2008-06-03 -----END PRIVACY-ENHANCED MESSAGE-----