0001127602-17-018267.txt : 20170516 0001127602-17-018267.hdr.sgml : 20170516 20170516142505 ACCESSION NUMBER: 0001127602-17-018267 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170515 FILED AS OF DATE: 20170516 DATE AS OF CHANGE: 20170516 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: SMITH MATTHEW K CENTRAL INDEX KEY: 0001691271 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36434 FILM NUMBER: 17848148 MAIL ADDRESS: STREET 1: 5150 LERNA ROAD CITY: MATTOON STATE: IL ZIP: 61938 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-05-15 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001691271 SMITH MATTHEW K 1421 CHARLESTON AVE MATTOON IL 61938 1 EVP, Director of Finance Common Stock 2017-05-15 4 A 0 55.105 34.05 A 115.707 I By Deferred Compensation Plan /s/ Michael L. Taylor, attorney-in-fact for Matthew K Smith 2017-05-16