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