0001127602-17-031352.txt : 20171106 0001127602-17-031352.hdr.sgml : 20171106 20171106155246 ACCESSION NUMBER: 0001127602-17-031352 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20171103 FILED AS OF DATE: 20171106 DATE AS OF CHANGE: 20171106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Westerhold Mary CENTRAL INDEX KEY: 0001522064 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36434 FILM NUMBER: 171179456 MAIL ADDRESS: STREET 1: 6814 GOSHEN ROAD CITY: EDWARDSVILLE STATE: IL ZIP: 62025 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 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-11-03 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001522064 Westerhold Mary 1421 CHARLESTON AVE MATTOON IL 61938 1 Common Stock 2017-11-03 4 A 0 218.653 40.64 A 1041.093 I By Deferred Compensation Plan Common Stock 1960 I By IRA Common Stock 20236 I By LLC 1 Common Stock 44224 I By LLC 2 Common Stock 49 I By Spouse's IRA Common Stock 75893 I By Trusts 1 Common Stock 16455 I By Trusts 2 Reflects transactions not required to be reported pursuant to Section 16 of the Securities Exchange Act of 1934, as amended The reporting person is a co-trustee of these trusts, and the members of her immediate family are beneficiaries of the trusts. The reporting person disclaims beneficial ownership of the common stock held by the trusts except to the extent of her pecuniary interest therein. /s/ Michael L. Taylor, attorney-in-fact for Mary J Westerhold 2017-11-06 EX-24 2 doc1.htm POWER OF ATTORNEY Mary Westerhold POA

EXHIBIT 24

First Mid Illinois Bancshares Inc

Power of Attorney
for Executing Forms 3, 4 and 5

Know all men by these presents, that the undersigned, director or officer, or both, of First Mid Illinois Bancshares Inc, hereby constitutes and appoints each of /s/ Micahel L Taylor, attorney-in-fact for Mary J. Westerhold, /s/ Joseph R. Dively, attorney-in-fact for Mary J. Westerhold, signing singly, the undersigned's true and lawful attorney-in-fact to:
(1) execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and/or director of First Mid Illinois Bancshares Inc (the "Company"), Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder;
(2) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4 or 5 and timely file such form with the United States Securities and Exchange Commission and any stock exchange or similar authority; and
(3) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.
This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigned's holdings of and transactions in securities of First Mid Illinois Bancshares Inc unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has executed this Power of Attorney as of this 8th day of September, 2016
/s/ Mary Westerhold
Mary Westerhold