-----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, TP30vbRJZJb8D6BShlfdcJa2ZW16+3FZbbitj45hiJbSi8maE8dBU6m9NAWsbRIR S1oQwQDR53ZWcj+cnURE9Q== 0001140361-09-028588.txt : 20091209 0001140361-09-028588.hdr.sgml : 20091209 20091209093346 ACCESSION NUMBER: 0001140361-09-028588 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090608 FILED AS OF DATE: 20091209 DATE AS OF CHANGE: 20091209 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: MELVIN GARY W CENTRAL INDEX KEY: 0001185506 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 091230080 MAIL ADDRESS: STREET 1: RR1, BOX 226 CITY: SULLIVAN STATE: IL ZIP: 61951 4 1 doc1.xml FORM 4 X0303 4 2009-06-08 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001185506 MELVIN GARY W RR 1, BOX 226 SULLIVAN IL 61951 1 0 0 0 Common Stock 2009-06-08 5 J 0 3042.512 16.50 A 269060.675 D Shares acquired through the Company's dividend reinvestment plan with dividends being paid on shares of common stock held. Michael L. Taylor, pursuant to a power of attorney filed 11/01/02. 2009-12-08 -----END PRIVACY-ENHANCED MESSAGE-----