0001140361-12-015192.txt : 20120313
0001140361-12-015192.hdr.sgml : 20120313
20120313155644
ACCESSION NUMBER: 0001140361-12-015192
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120313
FILED AS OF DATE: 20120313
DATE AS OF CHANGE: 20120313
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: 0211
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ADAMS CHARLES A /TX
CENTRAL INDEX KEY: 0001185704
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-13368
FILM NUMBER: 12687143
MAIL ADDRESS:
STREET 1: 21 ST. ANDREWS PLACE
CITY: MATTOON
STATE: IL
ZIP: 61938
4
1
doc1.xml
FORM 4
X0304
4
2012-03-13
0
0000700565
FIRST MID ILLINOIS BANCSHARES INC
FMBH
0001185704
ADAMS CHARLES A /TX
1020 N 13TH STREET
MATTOON
IL
61938
1
0
0
0
Common Stock
2012-03-13
4
P
0
407.879
19.00
A
57604.821
I
By Deferred Compensation Plan
Common Stock
134113.776
D
Common Stock
76563.525
I
By Spouse
Common Stock
276146.351
I
By Howell Paving Inc.
Includes 1,691.176 shares acquired through the Company's reinvestment plan with dividends being paid on shares of preferred stock held.
Includes 625.266 shares acquired through the Company's dividend reinvestment plan with dividends being paid on shares of common stock held.
William S. Rowland, pursuant to power of attorney filed 11/01/02.
2012-03-13