-----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, EYRB2xA99QRQx44SlkiMgzussmI/41TVYY8szkrw+pd38Y3SI8qvjfz/T6ok4HLV gehMObao+00d/ZMKD1P2wg== 0001140361-09-018967.txt : 20090814 0001140361-09-018967.hdr.sgml : 20090814 20090814121522 ACCESSION NUMBER: 0001140361-09-018967 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090608 FILED AS OF DATE: 20090814 DATE AS OF CHANGE: 20090814 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: 0211 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 091013663 MAIL ADDRESS: STREET 1: 21 ST. ANDREWS PLACE CITY: MATTOON STATE: IL ZIP: 61938 4 1 doc1.xml FORM 4 X0303 4 2009-06-08 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001185704 ADAMS CHARLES A /TX 1020 N 13TH STREET MATTOON IL 61938 1 0 0 0 Common Stock 2009-06-08 5 J 0 1526.759 16.50 A 134113.776 D Common Stock 2009-06-08 5 J 0 94.884 16.50 A 8334.848 I By Spouse Common Stock 2009-06-08 5 J 0 4623.595 16.50 A 406146.351 I By Howell Paving Common Stock 2009-06-08 5 J 0 575.436 16.50 A 50547.548 I By Deferred Compensation Plan Common Stock 2009-08-13 4 P 0 380.219 17.10 A 50927.767 I By Deferred Compensation Plan Shares acquired through the Company's divididend reinvestment plan with dividends paid on shares of common stock held. William S. Rowland, pursuant to power of attorney filed 11/01/02. 2009-08-14 -----END PRIVACY-ENHANCED MESSAGE-----