0001127602-18-034370.txt : 20181127 0001127602-18-034370.hdr.sgml : 20181127 20181127091935 ACCESSION NUMBER: 0001127602-18-034370 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181123 FILED AS OF DATE: 20181127 DATE AS OF CHANGE: 20181127 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dean Clay M CENTRAL INDEX KEY: 0001562764 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-36434 FILM NUMBER: 181202101 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/A 1 form4a.xml PRIMARY DOCUMENT X0306 4/A 2018-11-23 2018-11-26 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 2018-11-23 4 I 0 2821 35.45 A 2821 I By 401k Common Stock 1000.0006 D Common Stock 3103.458 I By Deferred Compensation Plan /s/ Matthew K. Smith, attorney-in-fact for Mr. Dean 2018-11-27