0001127602-21-021307.txt : 20210702
0001127602-21-021307.hdr.sgml : 20210702
20210702170154
ACCESSION NUMBER: 0001127602-21-021307
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210701
FILED AS OF DATE: 20210702
DATE AS OF CHANGE: 20210702
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Westerhold Mary
CENTRAL INDEX KEY: 0001522064
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36434
FILM NUMBER: 211071156
MAIL ADDRESS:
STREET 1: 6814 GOSHEN ROAD
CITY: EDWARDSVILLE
STATE: IL
ZIP: 62025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FIRST MID 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: 20040326
FORMER COMPANY:
FORMER CONFORMED NAME: FIRST-MID ILLINOIS BANCSHARES INC
DATE OF NAME CHANGE: 19920703
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2021-07-01
0000700565
FIRST MID BANCSHARES, INC.
FMBH
0001522064
Westerhold Mary
1421 CHARLESTON AVE
MATTOON
IL
61938
1
Common Stock
2021-07-01
4
A
0
330.2074
40.51
A
6489.837
I
By Deferred Compensation Plan
Common Stock
1960
I
By IRA
Common Stock
20236
I
By LLC 1
Common Stock
56224
I
By LLC 2
Common Stock
75893
I
By Trusts 1
Common Stock
16455
I
By Trusts 2
Common Stock
300
D
Reflects transactions not required to be reported pursuant to Section 16 of the Securities Exchange Act of 1934, as amended
The reporting person is a co-trustee of these trusts, and the members of her immediate family are beneficiaries of the trusts. The reporting person disclaims beneficial ownership of the common stock held by the trusts except to the extent of her pecuniary interest therein.
/s/ Matthew K. Smith, attorney-in-fact for Ms. Westerhold
2021-07-02