X0305 4 2012-06-28 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0000925184 LUMPKIN RICHARD ANTHONY 121 SOUTH 17TH STREET MATTOON IL 61938 0 0 1 0 Series C 8% Non-Cumulative perpetual convertible preferred 2012-06-28 4 P 0 50 5000 A Common Stock 50 I By 1970 Trust FBO Mary Lee Sparks Series C 8% Non-Cumulative perpetual convertible preferred 2012-06-28 4 P 0 80 5000 A Common Stock 80 I By 1970 Trust FBO Margaret L. Keon Each share of Series C Convertible Preferred Stock (i) is convertible at any time into 246.427 shares of common stock and cash in lieu of any fractional share of common stock, subject to certain adjustments, (ii) is convertible at First Mid-Illinois Bancshares' option under certain circumstances, (iii) has no expiration date. Shares acquired by Mr. Lumpkin through powers of investment direction over the aforementioned Trusts. Mr. Lumpkin disclaims beneficial ownership of these shares. Michael L. Taylor, pursuant to a power of attorney filed 12/19/02. 2012-06-29