0001127602-18-036614.txt : 20181218 0001127602-18-036614.hdr.sgml : 20181218 20181218170334 ACCESSION NUMBER: 0001127602-18-036614 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: Beesley Bradley L CENTRAL INDEX KEY: 0001634883 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36434 FILM NUMBER: 181241177 MAIL ADDRESS: STREET 1: 1906 SUNSET AVE CITY: EFFINGHAM STATE: IL ZIP: 62401 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 0001634883 Beesley Bradley L 1421 CHARLESTON AVE MATTOON IL 61938 1 Executive VP-Wealth Management Common Stock 2018-12-15 2018-12-17 4 F 0 136 32.58 D 3848 D Common Stock 2904.531 I By 401K Common Stock 4750.894 I By Deferred Comp 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. Beesley 2018-12-18