0001140361-12-006986.txt : 20120210 0001140361-12-006986.hdr.sgml : 20120210 20120210164253 ACCESSION NUMBER: 0001140361-12-006986 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120124 FILED AS OF DATE: 20120210 DATE AS OF CHANGE: 20120210 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: HEDGES JOHN W CENTRAL INDEX KEY: 0001185494 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 12593546 MAIL ADDRESS: STREET 1: 4 PINEHURST DRIVE CITY: MATTOON STATE: IL ZIP: 61938 4 1 doc1.xml FORM 4 X0304 4 2012-01-24 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001185494 HEDGES JOHN W 4 PINEHURST DRIVE MATTOON IL 61938 0 1 0 0 Executive VP Common Stock 2012-01-24 4 A 0 159 0 A 6062.00 D Common Stock 1472.469 I By 401K plan Common Stock 6000.736 I By Deferred Comp Acquired pursuant to vesting of performance based restricted stock untis. Michael L. Taylor, pursuant to a power of attorney filed 11/01/02. 2012-02-10