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