-----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, KPqNQE49M+5VeOME8jsBP7h3y9o89ZyN2aZYVnhsswHcyNeMwjd3qUpOTr/79m/h I6Ay5aqBsr/ks337WvB4Mw== 0000700565-03-000147.txt : 20030815 0000700565-03-000147.hdr.sgml : 20030815 20030815165711 ACCESSION NUMBER: 0000700565-03-000147 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030815 FILED AS OF DATE: 20030815 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MARVIN DANIEL E JR CENTRAL INDEX KEY: 0001186266 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 03851200 BUSINESS ADDRESS: STREET 1: 12 ST ANDREWS PLACE CITY: MATTOON STATE: IL ZIP: 61938 BUSINESS PHONE: 2172352015 MAIL ADDRESS: STREET 1: 12 ST ANDREWS PLACE CITY: MATTOON STATE: IL ZIP: 61938 4 1 form4_marvin-081503ex.xml X0201 4 2003-08-15 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH.OB 0001186266 MARVIN DANIEL E JR 12 ST ANDREWS PLACE MATTOON IL 61938 1 0 0 0 COMMON STOCK 2003-08-15 4 S 0 401.768 43.05 D 1163.376 I CUST FOR MINOR GRANDCHILDREN COMMON STOCK 3612 I WIFE COMMON STOCK 25232 D COMMON STOCK 2003-06-13 5 J 0 38.223 29.20 A 4502.668 I DEF COMP COMMON STOCK 2003-06-13 5 J 0 117.8 29.20 A 15755.682 I IRA SHARES PURCHASED 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 ON 11/01/02 2003-08-15 -----END PRIVACY-ENHANCED MESSAGE-----