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