X0305 4 2012-06-28 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001454931 Lumpkin Benjamin I. 340 E. RANDOLPH ST, UNIT 5403 CHICAGO IL 60601 1 0 0 0 Series C 8% Non-Cumulative perpetual convertible preferred 2012-06-28 4 P 0 500 5000 A Common Stock 500 D 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. Michael L. Taylor, pursuant to a power of attorney filed 01/29/09. 2012-06-29