0001127602-17-008621.txt : 20170227 0001127602-17-008621.hdr.sgml : 20170227 20170227165852 ACCESSION NUMBER: 0001127602-17-008621 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170224 FILED AS OF DATE: 20170227 DATE AS OF CHANGE: 20170227 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: Slabach Christopher L CENTRAL INDEX KEY: 0001434758 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36434 FILM NUMBER: 17642717 MAIL ADDRESS: STREET 1: 1504 WOODLAWN DR. CITY: CHARLESTON STATE: IL ZIP: 61920 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-02-24 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001434758 Slabach Christopher L 1504 WOODLAWN DR. CHARLESTON IL 61920 1 Senior V.P. Risk Mgmt Common Stock 2017-02-24 4 A 0 134 0 A 964.82 D Common Stock 329.533 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 Mr. Slabach 2017-02-27