0001127602-16-069223.txt : 20161206 0001127602-16-069223.hdr.sgml : 20161206 20161206105554 ACCESSION NUMBER: 0001127602-16-069223 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161205 FILED AS OF DATE: 20161206 DATE AS OF CHANGE: 20161206 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: 162035530 MAIL ADDRESS: STREET 1: 30 S COUNTRY CLUB RD CITY: MATTOON STATE: IL ZIP: 61938 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2016-12-05 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001012163 SPARKS RAY A 30 S COUNTRY CLUB ROAD MATTOON IL 61938 1 Common Stock 2016-12-05 4 S 0 91 30.44 D 87113 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 2016-12-06