1 |
NAMES
OF REPORTING PERSONS
| ||||
I.R.S.
IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
| |||||
Charles Albert Adams | |||||
2 |
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
| (a) | o | ||
(b) | x | ||||
3 |
SEC
USE ONLY
| ||||
4 |
SOURCE
OF FUNDS
| ||||
PF | |||||
5 |
CHECK
BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(e)
or 2(f)
| o | |||
6 |
CITIZENSHIP
OR PLACE OF ORGANIZATION
| ||||
United States of America | |||||
NUMBER
OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
| 7 |
SOLE
VOTING POWER
| |||
517,917 | |||||
8 |
SHARED
VOTING POWER
| ||||
19,000 | |||||
9 |
SOLE
DISPOSITIVE POWER
| ||||
517,917 | |||||
10 |
SHARED
DISPOSITIVE POWER
| ||||
19,000 | |||||
11 |
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
| ||||
536,917 | |||||
12 |
CHECK
BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
SHARES
| o | |||
13 |
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
| ||||
8.8%
| |||||
14 |
TYPE
OF REPORTING PERSON
| ||||
IN | |||||
Item 1. | Security and Issuer |
This statement relates to the common stock, par value $4.00 per share (the "Common Stock"), of First Mid-Illinois Bancshares, Inc., a Delaware corporation (the "Company"), whose principal executive offices are located at 1515 Charleston Avenue, Mattoon, Illinois 61938. |
Item 2. | Identity and Background |
(a) | This statement is being filed by Charles Albert Adams individiually. |
(b) | Mr. Adams residence address is 21 St. Andrews Place, Mattoon, Illinois 61938. |
(c) | Mr. Adams principal occupation is President of Howell Paving, Inc. His business address is 1020 N. 13th Street, Mattoon, Illinois 61938. |
(d) | During the last five years, Mr. Adams has not been convicted in a criminal proceeding (excluding traffic violations or similar misdemeanors). |
(e) | During the last five years, Mr. Adams has not been a party to a civil proceeding of a judicial or administrative body of competent jurisdiction resulting in a judgment, decree or final order finding any violation with respect to federal or state securities laws or enjoining future violations of, or prohibiting or mandating activities subject to, such laws. |
(f) | Mr. Adams is a citizen of the United States of America. |
Item 3. |
Source
and Amount of Funds or Other Consideration
|
Since Mr. Adams most recently filed amendment to this statement on Schedule 13D on June 29, 2005, shares of Common Stock for which Mr. Adams is reporting beneficial ownership herein have been acquired in the following manner: (i) 5,654 shares acquired pursuant to the deferral of director fees under the Company's Deferred Compensation Plan; (ii) 32,894 shares have been acquired pursuant to dividend reinvestment under the Company's Dividend Reinvestment Plan; (iii) 192,036 shares have been acquired pursuant to the three-for-two stock split effected by the Company on June 29, 2007; and (iv) 45,400 shares are obtainable through the conversion of 200 shares of Series B 9% Non-Cumulative Perpetual Convertible Preferred Stock of the Company (the "Series B Preferred Stock") that have been acquired by Mr. Adams individually through a private placement offering by the Company of the Series B Preferred Stock on November 16, 2009. No borrowed funds were used for any of the above listed acquisitions. Additionally, Mr. Adams' percentage of beneficial ownership of shares of Common Stock has increased as a result of Common Stock repurchases under the Company's share buy-back program. |
Item 4. |
Purpose
of Transaction
|
Purchases of shares of Common Stock by Mr. Adams have been for investment purposes. Mr. Adams may purchase additional shares from time to time depending upon price, market conditions, availability of funds, evaluation of other investment opportunities, and other factors. Mr. Adams has no present intention to sell any shares, although he could determine from time to time, based upon the same factors listed above for purchases, to sell some or all of the shares held by him. Except as set forth above, Mr. Adams does not have any plans or proposal which relates to or would result in any of the following matters: |
(a) |
(b) |
(c) |
(d) |
(e) |
(f) |
(g) |
(h) |
(i) |
(j) |
Item 5. |
Interest
in Securities of the Issuer
|
(a) | Mr. Adams' total beneficial ownership amounts to 536,917 shares of Common Stock, or 8.8% of the outstanding shares of Common Stock of the Company. |
(b) | Mr. Adams holds sole voting and investment power over the following shares of Common Stock: (i) 134,114 held by Mr. Adams individually; (ii) 53,882 shares held for the account of Mr. Adams under the Company's Deferred Compensation Plan; (iii) options to purchase 3,375 shares of Common Stock; (iv) 281,146 shares held by Howell Paving, Inc., which is a Corporation controlled by Mr. Adams; and (v) 200 shares of Series B Preferred Stock of the Company, which are convertible into 45,400 shares of Common Stock of the Company. Mr. Adams is also reporting shared voting and investment power over 19,000 shares held by the Howell-Adams Family Foundation. |
(c) | During the past 60 days, Mr. Adams has effected no transactions in the Common Stock other than the following: (i) On November 9, 2010, Mr. Adams acquired 356 shares of Common Stock through the Company's Deferred Compensation Plan. The price per share was $18.25. |
| Transaction Date | Shares or Unites Purchased (Sold) | Price Per Share or Unit |
(d) | Other than the persons described in sub-items (a) & (b) above, to the knowledge of Mr. Adams, no other person has the right to receive or the power to direct the receipt of dividends from, or proceeds from the sale of , the shares of Common Stock beneficially owned by Mr. Adams. |
(e) | Not Applicable. |
Item 6. |
Contracts,
Arrangements, Understandings or Relationships with Respect to Securities
of the Issuer
|
There are no contracts, arrangements, understandings or relationships (legal or otherwise) between Mr. Adams and any person with respect to any securities of the issuer. |
Item 7. |
Material
to Be Filed as Exhibits
|
None. |
November 17, 2010 | By: |
/s/
Charles Albert Adams | |