0001127602-16-062875.txt : 20160920
0001127602-16-062875.hdr.sgml : 20160920
20160920112824
ACCESSION NUMBER: 0001127602-16-062875
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160920
FILED AS OF DATE: 20160920
DATE AS OF CHANGE: 20160920
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: MELVIN GARY W
CENTRAL INDEX KEY: 0001185506
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36434
FILM NUMBER: 161893301
MAIL ADDRESS:
STREET 1: RR1, BOX 226
CITY: SULLIVAN
STATE: IL
ZIP: 61951
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2016-09-20
0000700565
FIRST MID ILLINOIS BANCSHARES INC
FMBH
0001185506
MELVIN GARY W
1134 CR 1650 E
SULLIVAN
IL
61951
1
Common Stock
2016-09-20
4
P
0
9869
25.59
A
618755.3391
D
Common Stock
45312.705
I
By Deferred Comp Plan
/s/ Michael L. Taylor, attorney-in-fact for Gary W. Melvin
2016-09-20