0001127602-14-026778.txt : 20140829 0001127602-14-026778.hdr.sgml : 20140829 20140829094432 ACCESSION NUMBER: 0001127602-14-026778 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140828 FILED AS OF DATE: 20140829 DATE AS OF CHANGE: 20140829 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: Cook Robert S CENTRAL INDEX KEY: 0001615123 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36434 FILM NUMBER: 141073493 MAIL ADDRESS: STREET 1: 631 S BODIN ST CITY: HINSDALE STATE: IL ZIP: 60521 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2014-08-28 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001615123 Cook Robert S 631 S BODIN ST HINSDALE IL 60521 1 Common Stock 2014-08-28 4 P 0 100 21.89 A 100 D /s/ Michael L Taylor, attorney-in-fact for Mr. Cook 2014-08-29