0001127602-17-031464.txt : 20171107
0001127602-17-031464.hdr.sgml : 20171107
20171107160149
ACCESSION NUMBER: 0001127602-17-031464
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171106
FILED AS OF DATE: 20171107
DATE AS OF CHANGE: 20171107
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dean Clay M
CENTRAL INDEX KEY: 0001562764
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36434
FILM NUMBER: 171183328
MAIL ADDRESS:
STREET 1: 2816 WESTERN AVE
CITY: MATTOON
STATE: IL
ZIP: 61938
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
2017-11-06
0000700565
FIRST MID ILLINOIS BANCSHARES INC
FMBH
0001562764
Dean Clay M
1421 CHARLESTON AVE
MATTOON
IL
61938
1
CEO-First Mid Insurance Group
Common Stock
2017-11-06
4
S
0
701.292
37.55
D
62
D
Common Stock
3016.221
I
By Deferred Compensation Plan
/s/ Michael L. Taylor, attorney-in-fact for Mr. Dean
2017-11-07