0001127602-17-026100.txt : 20170821
0001127602-17-026100.hdr.sgml : 20170821
20170821165051
ACCESSION NUMBER: 0001127602-17-026100
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170818
FILED AS OF DATE: 20170821
DATE AS OF CHANGE: 20170821
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ALLENBAUGH LAUREL G
CENTRAL INDEX KEY: 0001185501
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36434
FILM NUMBER: 171043505
MAIL ADDRESS:
STREET 1: 3015 WESTERN AVE
CITY: MATTOON
STATE: IL
ZIP: 61938
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
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2017-08-18
0000700565
FIRST MID ILLINOIS BANCSHARES INC
FMBH
0001185501
ALLENBAUGH LAUREL G
1421 CHARLESTON AVE
MATTOON
IL
61938
1
Executive Vice President
Common Stock
2017-08-18
4
S
0
572
34.46
D
3062
D
Common Stock
2017-08-21
4
S
0
388
34.20
D
2674
D
Common Stock
3289.079
I
By 401k Plan
Stock Option
26.10
2009-01-01
2017-12-11
Common Stock
2040
2040
D
Stock Option
23.00
2010-01-01
2018-12-16
Common Stock
2500
2500
D
Options become exercisable in 4 equal annual installments beginning on this date.
/s/ Michael L. Taylor, attorney-in-fact for Ms. Allenbaugh
2017-08-21