0001127602-17-018289.txt : 20170516
0001127602-17-018289.hdr.sgml : 20170516
20170516145955
ACCESSION NUMBER: 0001127602-17-018289
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: Zimmer James Edwin
CENTRAL INDEX KEY: 0001615220
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36434
FILM NUMBER: 17848330
MAIL ADDRESS:
STREET 1: 1010 LINCOLN AVE
CITY: CHARLESTON
STATE: IL
ZIP: 61920
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2017-05-15
0000700565
FIRST MID ILLINOIS BANCSHARES INC
FMBH
0001615220
Zimmer James Edwin
1421 CHARLESTON AVE
MATTOON
IL
61938
1
Common Stock
2017-05-15
4
A
0
268.028
34.05
A
3612.591
I
By Deferred Compensation Plan
Common Stock
1700.101
D
/s/ Michael L. Taylor, attorney-in-fact for Mr. Zimmer
2017-05-16