0001127602-16-038153.txt : 20160128
0001127602-16-038153.hdr.sgml : 20160128
20160128103630
ACCESSION NUMBER: 0001127602-16-038153
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160126
FILED AS OF DATE: 20160128
DATE AS OF CHANGE: 20160128
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: 1231
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: ALLENBAUGH LAUREL G
CENTRAL INDEX KEY: 0001185501
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36434
FILM NUMBER: 161367116
MAIL ADDRESS:
STREET 1: 3015 WESTERN AVE
CITY: MATTOON
STATE: IL
ZIP: 61938
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2016-01-26
0000700565
FIRST MID ILLINOIS BANCSHARES INC
FMBH
0001185501
ALLENBAUGH LAUREL G
3015 WESTERN AVE
MATTOON
IL
61938
1
Executive Vice President
Common Stock
2016-01-26
4
A
0
278
0
A
2372
D
Common Stock
3089.941
I
By 401k Plan
Shares acquired pursuant to meeting performance conditions on restricted stock award and is fully vested.
/s/ Michael L. Taylor, attorney-in-fact for Ms. Allenbaugh
2016-01-28