-----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, Kc3dh3s0ojwtVhQvFThuREYFOoRqr0UvBkWB3fXTgYRI2WXI9q3a3JAo7ksKlupv HIlwHMWWN3fBYXtiVexZeA== 0001140361-09-000560.txt : 20090106 0001140361-09-000560.hdr.sgml : 20090106 20090106131208 ACCESSION NUMBER: 0001140361-09-000560 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20081231 FILED AS OF DATE: 20090106 DATE AS OF CHANGE: 20090106 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: ALLENBAUGH LAUREL G CENTRAL INDEX KEY: 0001185501 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 09509162 BUSINESS ADDRESS: STREET 1: 1515 CHARLESTON AVE CITY: MATTOON STATE: IL ZIP: 61938 BUSINESS PHONE: 2172580610 MAIL ADDRESS: STREET 1: 3015 WESTERN AVE CITY: MATTOON STATE: IL ZIP: 61938 5 1 doc1.xml FORM 5 X0303 5 2008-12-31 0 0 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001185501 ALLENBAUGH LAUREL G 3015 WESTERN AVE MATTOON IL 61938 0 1 0 0 Vice President Common Stock 2008-12-24 5 P 0 1.385 13.03 A 1648.401 I By 401K Michael L. Taylor, pursuant to a power of attorney filed 12/19/02. 2009-01-06 -----END PRIVACY-ENHANCED MESSAGE-----