-----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, R227hjqLC1v73N/zf00ENub2IaEATe/RY9xH8LtRBy4+QlbLkb3RlLHKOJJvX5CS 11E4poFCuuqwCHabW/XEOg== 0001140361-11-009768.txt : 20110215 0001140361-11-009768.hdr.sgml : 20110215 20110215142239 ACCESSION NUMBER: 0001140361-11-009768 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110211 FILED AS OF DATE: 20110215 DATE AS OF CHANGE: 20110215 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: GRISSOM STEVEN L CENTRAL INDEX KEY: 0001073304 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 11613681 MAIL ADDRESS: STREET 1: CONSOLIDATED COMMUNICATIONS INC STREET 2: 121 S 17TH ST CITY: MATTOON STATE: IL ZIP: 61938 4 1 doc1.xml FORM 4 X0303 4 2011-02-11 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001073304 GRISSOM STEVEN L C/O SKL INVESTMENT GROUP 121 S. 17TH STREET MATTOON IL 61938 1 0 0 0 Common Stock 2011-01-06 5 J 0 23.561 17.95 A 2249.475 I By Deferred Compensation Plan Series C 8% Non-Cumulative perpetual convertible preferred 2011-02-11 4 P 0 80 5000 A Common Stock 80 I By Wife Shares acquired through the Company's dividend reinvestment plan with dividends being paid on shares of common stock held. Each share of Series C Convertible Preferred Stock (i) is convertible at any time into 246.427 shares of common stock and cash in lieu of any fractional share of common stock, subject to certain adjustments, (ii) is convertible at First Mid-Illinois Bancshares' option under certain circumstances, (iii) has no expiration date. Michael L. Taylor, pursuant to a power of attorney filed 12/19/02. 2011-02-14 -----END PRIVACY-ENHANCED MESSAGE-----