-----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, WjSV1ndn6lQv1YiQ2RGsIowxvdC8aFx0RxtWQjimPrMf4QBsvCGUFgE3iar9GDrh W4i1GoCmKNmG2255kfFucQ== 0001209191-04-010235.txt : 20040217 0001209191-04-010235.hdr.sgml : 20040216 20040217094606 ACCESSION NUMBER: 0001209191-04-010235 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DAWSON T O CENTRAL INDEX KEY: 0001187969 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-15950 FILM NUMBER: 04603554 MAIL ADDRESS: STREET 1: 201 W MAIN ST CITY: URBANA STATE: IL ZIP: 61801 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIRST BUSEY CORP /NV/ CENTRAL INDEX KEY: 0000314489 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 371078406 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 201 W MAIN STREET CITY: URBANA STATE: IL ZIP: 61801 BUSINESS PHONE: 2173844513 MAIL ADDRESS: STREET 1: 201 W MAIN STREET STREET 2: PO BOX 123 CITY: URBANA STATE: IL ZIP: 61801 5 1 boc82974_06tod.xml MAIN DOCUMENT DESCRIPTION X0201 5 2003-12-31 0 0 0 0000314489 FIRST BUSEY CORP /NV/ BUSE 0001187969 DAWSON T O 2110 NOEL STREET CHAMPAIGN IL 61821 1 1 0 0 Director Common 2003-12-19 5 J 0 3000 0.00 D 71754 D Common 2003-12-19 5 J 0 3000 0.00 A 3500 I Trusts Common 600 I Trusts Common 16872 I Spouse Employee Stock Option 20.0625 2001-01-16 2004-12-15 Common 3000 0 D Employee Stock Option 17.875 2002-01-15 2005-12-15 Common 3000 0 D Nature beneficial ownership transfer from Direct Account to Indirect Trust Account Nature beneficial ownership transfer from Direct Account to Indirect Trust Account Nicole M. Warren - POA 2004-02-13 -----END PRIVACY-ENHANCED MESSAGE-----