0001127602-17-008166.txt : 20170224 0001127602-17-008166.hdr.sgml : 20170224 20170224153346 ACCESSION NUMBER: 0001127602-17-008166 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170224 FILED AS OF DATE: 20170224 DATE AS OF CHANGE: 20170224 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: TAYLOR MICHAEL L CENTRAL INDEX KEY: 0001185497 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36434 FILM NUMBER: 17636881 MAIL ADDRESS: STREET 1: 19 CAMBRIDGE DRIVE CITY: MATTOON STATE: IL ZIP: 61938 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-02-24 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001185497 TAYLOR MICHAEL L 19 CAMBRIDGE DRIVE MATTOON IL 61938 1 Chief Financial Officer Common Stock 2017-02-24 4 M 0 3000 26.10 A 8180.8436 D Common Stock 5571.004 I By 401k Plan Stock Option 26.10 2017-02-24 4 M 0 3000 0 D 2009-01-01 2017-12-11 Common Stock 3000 0 D Options become exercisable in 4 equal annual installemnts beginning on this date. Michael L. Taylor 2017-02-24