0001140361-11-033600.txt : 20110621 0001140361-11-033600.hdr.sgml : 20110621 20110621093621 ACCESSION NUMBER: 0001140361-11-033600 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110617 FILED AS OF DATE: 20110621 DATE AS OF CHANGE: 20110621 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: 0211 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MELVIN GARY W CENTRAL INDEX KEY: 0001185506 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 11922449 MAIL ADDRESS: STREET 1: RR1, BOX 226 CITY: SULLIVAN STATE: IL ZIP: 61951 4 1 doc1.xml FORM 4 X0303 4 2011-06-17 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001185506 MELVIN GARY W RR 1, BOX 226 SULLIVAN IL 61951 1 0 0 0 Common Stock 2011-06-17 4 P 0 450.00 18.90 A 293288.625 D Michael L. Taylor, pursuant to a power of attorney filed 11/01/02. 2011-06-21