0001127602-19-002638.txt : 20190124
0001127602-19-002638.hdr.sgml : 20190124
20190124165706
ACCESSION NUMBER: 0001127602-19-002638
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190122
FILED AS OF DATE: 20190124
DATE AS OF CHANGE: 20190124
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dively Joseph R
CENTRAL INDEX KEY: 0001301318
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36434
FILM NUMBER: 19540497
MAIL ADDRESS:
STREET 1: 13179 E. COUNTY ROAD 720N
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
2019-01-22
0000700565
FIRST MID ILLINOIS BANCSHARES INC
FMBH
0001301318
Dively Joseph R
1421 CHARLESTON AVE
MATTOON
IL
61938
1
1
CEO
Common Stock
2019-01-22
4
A
0
5200
33.73
A
56660.363
D
Common Stock
37684.021
I
By Deferred Compensation Plan
Shares represent an award under the Long Term Incentive Plan. The shares will vest 1/3 per year beginning on December 15, 2019
/s/ Matthew K. Smith, attorney-in-fact for Mr. Dively
2019-01-24