-----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, VQoNHthwbPJsvOeqWV2pVxj3PThU2+ZjPWWTLWZzfWy6ef4uSirEsA/2rEscWcry THQoGAkvSKKUXvlW8BBVOw== 0000700565-05-000185.txt : 20050817 0000700565-05-000185.hdr.sgml : 20050817 20050817105411 ACCESSION NUMBER: 0000700565-05-000185 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050815 FILED AS OF DATE: 20050817 DATE AS OF CHANGE: 20050817 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: 1231 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: PRESTON SARA JANE CENTRAL INDEX KEY: 0001185510 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 051032385 BUSINESS ADDRESS: BUSINESS PHONE: 2173453780 MAIL ADDRESS: STREET 1: 2230 SENECA CITY: CHARLESTON STATE: IL ZIP: 61920 4 1 form4_preston-081505ex.xml SARA JANE PRESTON X0202 4 2005-08-15 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH.OB 0001185510 PRESTON SARA JANE 2230 SENECA CHARLESTON IL 61920 1 0 0 0 Common Stock 4425 D Common Stock 2005-06-15 5 J 0 15.004 40.75 A 2562.542 I By Deferred Comp Common Stock 2005-08-15 4 P 0 87.383 40.25 A 2649.925 I By Deferred Comp Stock Option 12.55 2000-12-18 2010-12-18 Common Stock 1125 1125 D Stock Option 16.00 2001-12-18 2011-12-18 Common Stock 1500 2625 D Stock Option 18.17 2002-12-16 2012-12-16 Common Stock 1500 4125 D Stock Option 31.00 2003-12-16 2013-12-16 Common Stock 2250 6375 D Stock Option 41.00 2004-12-14 2014-12-14 Common Stock 2250 8625 D Shares acquired through the Company's dividend reinvestment plan with dividends paid on shares of common stock held. Michael L. Taylor, pursuant to a power of attorney filed 11/1/02 2005-08-17 -----END PRIVACY-ENHANCED MESSAGE-----