0001127602-19-002653.txt : 20190124 0001127602-19-002653.hdr.sgml : 20190124 20190124174515 ACCESSION NUMBER: 0001127602-19-002653 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190122 FILED AS OF DATE: 20190124 DATE AS OF CHANGE: 20190124 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dean Clay M CENTRAL INDEX KEY: 0001562764 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36434 FILM NUMBER: 19540775 MAIL ADDRESS: STREET 1: 2816 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 2019-01-22 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001562764 Dean Clay M 1421 CHARLESTON AVE MATTOON IL 61938 1 CEO-First Mid Insurance Group Common Stock 2019-01-22 4 A 0 1000 33.73 A 1890.0006 D Common Stock 2821 I By 401k Common Stock 3103.458 I By Deferred Compensation Plan Shares represent an award under the Long Term Incentive Plan. The shares will vest 1/3 per year beginning on December 15, 2019. /s/ Matthew K. Smith, attorney-in-fact for Mr. Dean 2019-01-24