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