0001127602-13-032277.txt : 20131120 0001127602-13-032277.hdr.sgml : 20131120 20131120134947 ACCESSION NUMBER: 0001127602-13-032277 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20131119 FILED AS OF DATE: 20131120 DATE AS OF CHANGE: 20131120 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: TAYLOR MICHAEL L CENTRAL INDEX KEY: 0001185497 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 131232483 MAIL ADDRESS: STREET 1: 19 CAMBRIDGE DRIVE CITY: MATTOON STATE: IL ZIP: 61938 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2013-11-19 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001185497 TAYLOR MICHAEL L 19 CAMBRIDGE DRIVE MATTOON IL 61938 1 Chief Financial Officer Common Stock 2013-11-19 4 M 0 5062 20.67 A 5923.923 D Common Stock 2013-11-19 4 D 0 5062 22.50 D 861.923 D Common Stock 3414.662 I By 401k Plan Stock Option 20.67 2013-11-19 4 M 0 5062 0 D 2005-01-01 2013-12-16 Common Stock 5062 0.5 D Options become exerciseable in 4 equal annual installments beginning on 1/1/2005. Michael L. Taylor 2013-11-20