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