SEC FORM 5 SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
Form 3 Holdings Reported.
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
MILLS DOUGLAS C

(Last) (First) (Middle)
2123 SEATON COURT

(Street)
CHAMPAIGN IL 61821

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
FIRST BUSEY CORP /NV/ [ BUSE ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) X Other (specify below)
First Busey Corporation / Chairman, President & CEO
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2006
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Common Stock 11/13/2006 G 31,950 D $0 519,712 D
Common Stock(1) 1,555,001 I Mills Investment LP(1)
Common Stock 12/31/2006 A 1,252.746 A $0 39,831.883 I ESOP Plan
Common Stock(2) 12/31/2006 A 404.1867 A $0 12,053.785 I 401(k)/Profit Sharing Plan
Common Stock 35,000 I Mills Family Foundation(2)
Common Stock(3) 11/13/2006 G 52,200 D $0 985,813 I Linda M. Mills Trust(3)
Common Stock(3) 11/17/2006 A 9,000 A $0 994,813 I Linda M. Mills Trust(3)
Commons Stock(4) 937,500 I Douglas C. Mills Trust(4)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option $14.56 04/16/2005 12/16/2010 Common Stock 45,000 45,000 D
Stock Option $19.59 09/14/2007 09/14/2009 Common Stock 40,000 40,000 D
Stock Option $20.16 01/26/2009 12/15/2011 Common Stock 15,000 15,000 D
Explanation of Responses:
1. Douglas C. Mills is the general partner for Mills Investment LP
2. Mr. Mills' son, Robert, is President of Mills Family Foundation
3. Mr. Mills' wife, Linda M. Mills, died Sept. 14, 2006 and shares are held in the Linda M. Mills Trust dtd 12-18-1989. Douglas C. Mills is the Trustee.
4. Douglas C. Mills Trust dtd 12-18-1989
/s/Douglas C. Mills 02/14/2007
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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