SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
  
Form 3 Holdings Reported.
  
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
MEYER AUGUST C JR

(Last) (First) (Middle)
100 WEST UNIVERSITY

(Street)
CHAMPAIGN IL 61820

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
FIRST BUSEY CORP /NV/ [ BUSE ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2011
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Common Stock 07/08/2011 G 2,660,940 D $0 0 (1) I August C. Meyer, Jr. 2009 GRAT - 1, Trustee
Common Stock 131,743 (1) I August C. Meyer, Jr. 2010 2YC GRAT
Common Stock 783,839 (1) I August C. Meyer, Jr. 2010 3YC GRAT
Common Stock 371,874 (1) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Common Stock $12 08/01/2007 03/19/2012 Stock Option 7,750 7,750 D
Common Stock $16 08/01/2007 03/18/2013 Stock Option 7,750 7,750 D
Common Stock $19.74 08/01/2007 02/17/2014 Stock Option 7,750 7,750 D
Common Stock $19.09 08/01/2007 02/15/2015 Stock Option 7,750 7,750 D
Common Stock $17.12 05/01/2009 12/15/2015 Stock Option 7,500 7,500 D
Common Stock $19.41 08/01/2007 02/21/2016 Stock Option 7,750 7,750 D
Common Stock $19.35 08/01/2007 07/17/2017 Stock Option 4,650 4,650 D
Common Stock $7.53 06/01/2010 06/30/2019 Stock Option 7,500 7,500 D
Common Stock $4.49 06/01/2011 06/01/2020 Stock Option 7,500 7,500 D
Explanation of Responses:
1. On July 8, 2011, pursuant to the terms of the August C. Meyer, Jr. 2009 GRAT-1, 1,285,256 shares of BUSE common stock held by such trust were distributed to Mr. Meyer and 2,660,940 shares held by the trust were transferred to Mr. Meyer's adult child, whereupon the trust was terminated. Mr. Meyer subsequently contributed 131,743 and 783,839 shares to each of the August C. Meyer, Jr. 2010 2YC GRAT and the August C. Meyer, Jr. 2010 3YC GRAT, respectively. The remaining 369,674 shares distributed to Mr. Meyer are reported in this Form 5 as being directly owned by Mr. Meyer, along with 2,200 Restricted Stock Units directly owned by Mr. Meyer which had previously been reported and will vest on June 21, 2012.
Remarks:
/s/ August C. Meyer, Jr. 02/14/2012
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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