0001127602-18-036609.txt : 20181218
0001127602-18-036609.hdr.sgml : 20181218
20181218165930
ACCESSION NUMBER: 0001127602-18-036609
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: Slabach Christopher L
CENTRAL INDEX KEY: 0001434758
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36434
FILM NUMBER: 181241138
MAIL ADDRESS:
STREET 1: 1504 WOODLAWN DR.
CITY: CHARLESTON
STATE: IL
ZIP: 61920
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
0001434758
Slabach Christopher L
1421 CHARLESTON AVE
MATTOON
IL
61938
1
SVP, Chief Risk Officer
Common Stock
2018-12-15
2018-12-17
4
F
0
80
32.58
D
2584.047
D
Common Stock
341.824
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 Mr. Slabach
2018-12-18