0001127602-17-035102.txt : 20171219 0001127602-17-035102.hdr.sgml : 20171219 20171219150947 ACCESSION NUMBER: 0001127602-17-035102 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171215 FILED AS OF DATE: 20171219 DATE AS OF CHANGE: 20171219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lewis Amanda D CENTRAL INDEX KEY: 0001621192 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36434 FILM NUMBER: 171263818 MAIL ADDRESS: STREET 1: 300 W PLEASANT CITY: GREENUP STATE: IL ZIP: 62428 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 2017-12-15 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001621192 Lewis Amanda D 300 W PLEASANT GREENUP IL 62428 1 SVP Retail Banking Common Stock 2017-12-15 4 A 0 1207 0 A 1207 D Common Stock 2017-12-15 4 F 0 542 38.45 D 665 D Common Stock 1751.818 I By 401K plan The vesting of these awards was made in connection with the redesign of the Company's long-term incentive compensation program and were based on 90% of the maximum achievement level for the three year performance periods ending December 31, 2017, 2018, and 2019. The shares vested in full on December 15, 2017. Number of shares withheld to satisfy income tax withholding obligations in connection with shares of restricted stock that vested. /s/ Michael L. Taylor, attorney-in-fact for Ms. Lewis 2017-12-19