0001127602-17-021926.txt : 20170621 0001127602-17-021926.hdr.sgml : 20170621 20170621092046 ACCESSION NUMBER: 0001127602-17-021926 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170620 FILED AS OF DATE: 20170621 DATE AS OF CHANGE: 20170621 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: GRISSOM STEVEN L CENTRAL INDEX KEY: 0001073304 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36434 FILM NUMBER: 17922174 MAIL ADDRESS: STREET 1: CONSOLIDATED COMMUNICATIONS INC STREET 2: 121 S 17TH ST CITY: MATTOON STATE: IL ZIP: 61938 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-06-20 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001073304 GRISSOM STEVEN L C/O SKL INVESTMENT GROUP 121 S. 17TH STREET MATTOON IL 61938 1 Common Stock 2017-06-20 4 S 0 1100 37.00 D 16714 I By Spouse Common Stock 69796.5 D Common Stock 2602.683 I By Deferred Comp Plan /s/ Michael L. Taylor, attorney-in-fact for Steven L. Grissom 2017-06-21