0001127602-14-032444.txt : 20141117
0001127602-14-032444.hdr.sgml : 20141117
20141117173128
ACCESSION NUMBER: 0001127602-14-032444
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20141117
FILED AS OF DATE: 20141117
DATE AS OF CHANGE: 20141117
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: ROWLAND WILLIAM S
CENTRAL INDEX KEY: 0001185508
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36434
FILM NUMBER: 141228890
MAIL ADDRESS:
STREET 1: #1 PRAIRIE SUN LANE
CITY: MATTOON
STATE: IL
ZIP: 61938
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2014-11-17
0000700565
FIRST MID ILLINOIS BANCSHARES INC
FMBH
0001185508
ROWLAND WILLIAM S
1 PRAIRIE SUN LANE
MATTOON
IL
61938
1
Common Stock
2014-11-17
4
C
0
11563
0
A
35478.882
D
Common Stock
5736.091
I
By Deferred Compensation Plan
Common Stock
24843.6
I
By Ira
Series B 9% Non-cumulative Perpetual Convertible Preferred
2014-11-17
4
C
0
50
0
D
Common Stock
11563.35
0
D
On November 17, 2014 the Company caused the conversion of the Series B 9% Non-cumulative Perpetual Convertible Preferred stock. Each share was converted into 231.267 shares of common stock, cash in lieu of fractional shares.
Each share of the Series B Convertible Preferred Stock (i) is convertible at any time into 231.267 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, and (iii) has no expiration date.
/s/ Michael L. Taylor, attorney-in-fact for Mr. Rowland
2014-11-17
EX-24
2
doc1.txt
POWER OF ATTORNEY (PUBLIC): POWER OF ATTORNEY
POWER OF ATTORNEY
Know all by these presents, that the undersigned hereby constitutes
and appoints each of Joseph R. Dively and Michael L. Taylor, signing
singly, the undersigned?s true and lawful attorney-in-fact to:
1) execute for and on behalf of the undersigned, in the undersigned?s
capacity as a beneficial owner of more than 10 percent of any class
of equity security registered pursuant to Section 12 of the
Securities Exchange Act of 1934, as amended (the ?Act?), of and/or
an officer and/or director of First Mid-Illinois Bancshares, Inc.
(the ?Company?), Forms ID, 3, 4, and 5 in accordance with
Section 16(a) of the Act and the rules thereunder;
2) do and perform any and all acts for and on behalf of the undersigned
which may be necessary or desirable to complete and execute any such
Form ID, 3, 4, or 5, complete and execute any amendment or
amendments thereto, and timely file such form with the United States
Securities and Exchange Commission and any stock exchange or
similar authority; and
3) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of
benefit to, in the best interest of, or legally required by, the
undersigned, it being understood that the documents executed by such
attorney-in-fact on behalf of the undersigned pursuant to this Power
of Attorney shall be in such form and shall contain such terms and
conditions as such attorney-in-fact may approve in such attorney-in-
fact?s discretion.
The undersigned hereby grants to each such attorney-in-fact full
power and authority to do and perform any and every act and thing
whatsoever requisite, necessary, or proper to be done in the exercise
of any of the rights and powers herein granted, as fully to all
intents and purposes as the undersigned might or could do if personally
present, with full power of substitution or revocation, hereby
ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact?s substitute or substitutes, shall lawfully do or
cause to be done by virtue of this power of attorney and the rights and
powers herein granted.The undersigned acknowledges that the foregoing
attorneys-in-fact, in serving in such capacity at the request of the
undersigned, are not assuming, nor is the Company assuming, any of the
undersigned?s responsibilities to comply with Section 16 of the Act.
This Power of Attorney shall remain in full force and effect until
the undersigned is no longer required to file Forms ID, 3, 4, and 5 with
respect to the undersigned?s holdings of and transactions in securities
issued by the Company, unless earlier revoked by the undersigned in a
signed writing delivered to the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of
Attorney to be executed as of this 25th day of February, 2014.
/s/ William S. Rowland
Print Name: William S. Rowland