0001127602-18-036596.txt : 20181218 0001127602-18-036596.hdr.sgml : 20181218 20181218164028 ACCESSION NUMBER: 0001127602-18-036596 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181215 FILED AS OF DATE: 20181218 DATE AS OF CHANGE: 20181218 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: 181241009 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 2018-12-15 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001621192 Lewis Amanda D 300 W PLEASANT GREENUP IL 62428 1 SVP Retail Banking Common Stock 2018-12-15 2018-12-17 4 F 0 114 32.58 D 1551 D Common Stock 1940.317 I By 401K plan Number of shares withheld to satisfy income tax withholding obligations in connection with shares of restricted stock that vested. /s/ Matthew K. Smith, attorney-in-fact for Ms. Lewis 2018-12-18