0001127602-16-068847.txt : 20161201
0001127602-16-068847.hdr.sgml : 20161201
20161201172941
ACCESSION NUMBER: 0001127602-16-068847
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161201
FILED AS OF DATE: 20161201
DATE AS OF CHANGE: 20161201
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: SPARKS RAY A
CENTRAL INDEX KEY: 0001012163
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36434
FILM NUMBER: 162029214
MAIL ADDRESS:
STREET 1: 30 S COUNTRY CLUB RD
CITY: MATTOON
STATE: IL
ZIP: 61938
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2016-12-01
0000700565
FIRST MID ILLINOIS BANCSHARES INC
FMBH
0001012163
SPARKS RAY A
30 S COUNTRY CLUB ROAD
MATTOON
IL
61938
1
Common Stock
2016-12-01
4
S
0
601
30.44
D
87206
I
By Sparks Investment Group Lp
Common Stock
282858
D
Common Stock
1822
I
By Child
Common Stock
24592.852
I
By Deferred Compensation Plan
Common Stock
18880
I
By Sparks Foundation
Common Stock
32782
I
By Spouse
/s/ Michael L. Taylor, attorney-in-fact for Mr. Sparks
2016-12-01