0001127602-19-000225.txt : 20190102 0001127602-19-000225.hdr.sgml : 20190102 20190102155532 ACCESSION NUMBER: 0001127602-19-000225 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181215 FILED AS OF DATE: 20190102 DATE AS OF CHANGE: 20190102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TAYLOR MICHAEL L CENTRAL INDEX KEY: 0001185497 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-36434 FILM NUMBER: 19501590 MAIL ADDRESS: STREET 1: 19 CAMBRIDGE DRIVE 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 2018-12-15 2018-12-18 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001185497 TAYLOR MICHAEL L 1421 CHARLESTON AVE MATTOON IL 61938 1 Chief Operating Officer Common Stock 2018-12-15 2018-12-17 4 F 0 169 32.58 D 11365.7837 D Common Stock 6608.291 I By 401k Plan Common Stock 368 I by Deferred Compensation Plan Revised to reflect the correct 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. Taylor 2019-01-02