0001140361-12-025079.txt : 20120514
0001140361-12-025079.hdr.sgml : 20120514
20120514180850
ACCESSION NUMBER: 0001140361-12-025079
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120511
FILED AS OF DATE: 20120514
DATE AS OF CHANGE: 20120514
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: 12840197
MAIL ADDRESS:
STREET 1: 21 ST. ANDREWS PLACE
CITY: MATTOON
STATE: IL
ZIP: 61938
4
1
doc1.xml
FORM 4
X0305
4
2012-05-11
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
2012-05-11
4
P
0
288.789
22.50
A
57893.610
I
By Deferred Compensation Plan
Common Stock
134113.776
D
Common Stock
77226.971
I
By Spouse
Common Stock
276146.351
I
By Howell Paving Inc.
Includes 663.446 shares acquired through the Company's dividend reinvestment plan with dividends being paid on shares of common stock held.
Michael L. Taylor, pursuant to a power of attorney filed 11/01/02.
2012-05-14