0001127602-17-011011.txt : 20170309 0001127602-17-011011.hdr.sgml : 20170309 20170309131235 ACCESSION NUMBER: 0001127602-17-011011 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170308 FILED AS OF DATE: 20170309 DATE AS OF CHANGE: 20170309 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: Zimmer James Edwin CENTRAL INDEX KEY: 0001615220 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36434 FILM NUMBER: 17677687 MAIL ADDRESS: STREET 1: 1010 LINCOLN AVE CITY: CHARLESTON STATE: IL ZIP: 61920 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-03-08 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001615220 Zimmer James Edwin 1421 CHARLESTON AVE MATTOON IL 61938 1 Common Stock 2017-03-08 4 A 0 295.184 30.94 A 3344.563 I By Deferred Compensation Plan Common Stock 1700.101 D /s/ Michael L. Taylor, attorney-in-fact for Mr. Zimmer 2017-03-09