0001127602-17-016012.txt : 20170501
0001127602-17-016012.hdr.sgml : 20170501
20170501155932
ACCESSION NUMBER: 0001127602-17-016012
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170501
FILED AS OF DATE: 20170501
DATE AS OF CHANGE: 20170501
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: ROWLAND WILLIAM S
CENTRAL INDEX KEY: 0001185508
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36434
FILM NUMBER: 17800610
MAIL ADDRESS:
STREET 1: #1 PRAIRIE SUN LANE
CITY: MATTOON
STATE: IL
ZIP: 61938
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2017-05-01
0000700565
FIRST MID ILLINOIS BANCSHARES INC
FMBH
0001185508
ROWLAND WILLIAM S
1 PRAIRIE SUN LANE
MATTOON
IL
61938
1
Common Stock
2017-05-01
4
M
0
4000
23.00
A
52407.096
D
Common Stock
0
I
By 401k Plan
Common Stock
0
I
By Deferred Comp
Common Stock
1530.416
I
By Deferred Compensation Plan
Common Stock
19707.6
I
By Ira
Stock Option
23.00
2017-05-01
4
M
0
4000
0
D
2010-01-01
2018-12-16
Common Stock
4000
0
D
Options become exercisable in 4 equal annual installments beginning on this date.
/s/ Michael L. Taylor, attorney-in-fact for Mr. Rowland
2017-05-01