0001127602-14-003293.txt : 20140129
0001127602-14-003293.hdr.sgml : 20140129
20140129143234
ACCESSION NUMBER: 0001127602-14-003293
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140128
FILED AS OF DATE: 20140129
DATE AS OF CHANGE: 20140129
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: Dively Joseph R
CENTRAL INDEX KEY: 0001301318
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-13368
FILM NUMBER: 14556387
MAIL ADDRESS:
STREET 1: 13179 E. COUNTY ROAD 720N
CITY: CHARLESTON
STATE: IL
ZIP: 61920
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2014-01-28
0000700565
FIRST MID ILLINOIS BANCSHARES INC
FMBH
0001301318
Dively Joseph R
13179 E. COUNTY ROAD 720N
CHARLESTON
IL
61920
1
1
CEO
Common Stock
2014-01-28
4
A
0
1278
0
A
11442.253
D
Common Stock
15459.914
I
By Deferred Compensation Plan
577 shares acquired pursuant to meeting performance conditions on restricted stock awards and vests annually in 25% increments. 701 shares acquired pursuant to meeting performance conditions on restricted stock awards and is fully vested.
/s/ Michael L. Taylor, attorney-in-fact for Mr. Dively
2014-01-29