0001140361-12-048598.txt : 20121123 0001140361-12-048598.hdr.sgml : 20121122 20121123141846 ACCESSION NUMBER: 0001140361-12-048598 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120806 FILED AS OF DATE: 20121123 DATE AS OF CHANGE: 20121123 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: DOWNS KELLY A CENTRAL INDEX KEY: 0001233427 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 121222740 MAIL ADDRESS: STREET 1: 1 HANCE DRIVE CITY: CHARLESTON STATE: IL ZIP: 61920 4/A 1 doc1.xml FORM 4/A X0306 4/A 2012-08-06 2012-08-07 1 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001233427 DOWNS KELLY A 2000 MEADOWLAKE CHARLESTON IL 61920 0 1 0 0 SVP, Retail Services Common Stock 2012-08-06 4 M 0 844 20.67 A 874 D Common Stock 2012-08-06 4 M 0 750.00 23.00 A 1624. D Common Stock 2012-08-06 4 S 0 1594 26.00 D 30.00 D Common Stock 1308.842 I By 401k Plan Stock Option 20.67 2012-08-06 4 M 0 844 20.67 D 2008-01-01 2013-12-16 Common Stock 844. .5 D Stock Option 23.00 2012-08-06 4 M 0 750.00 23.00 D 2018-12-16 Common Stock 750.00 250.00 D Stock Option 27.33 2014-12-14 Common Stock 3375 3375 D Stock Option 26.10 2017-12-11 Common Stock 1500 1500 D Options became exercisable in 3 equal annual installments beginning 1/1/2010. Options become exercisable in four equal annual installments beginning on 1/1/2006. Options become exercisable in four equal annual installemnts beginning 1/1/2009. William S. Rowland, pursuant to a power of attorney filed 05/29/2003 2012-11-23