0001140361-12-008684.txt : 20120215 0001140361-12-008684.hdr.sgml : 20120215 20120215154848 ACCESSION NUMBER: 0001140361-12-008684 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120214 FILED AS OF DATE: 20120215 DATE AS OF CHANGE: 20120215 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: TAYLOR MICHAEL L CENTRAL INDEX KEY: 0001185497 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 12615962 MAIL ADDRESS: STREET 1: 19 CAMBRIDGE DRIVE CITY: MATTOON STATE: IL ZIP: 61938 4 1 doc1.xml FORM 4 X0304 4 2012-02-14 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001185497 TAYLOR MICHAEL L 19 CAMBRIDGE DRIVE MATTOON IL 61938 0 1 0 0 Chief Financial Officer Common Stock 2012-02-14 4 M 0 2530 12.11 A 2708.641 D Common Stock 2012-02-15 4 D 0 2530 19.70 D 178.641 D Common Stock 2620.947 I By 401K plan Stock Option 12.11 2012-02-14 4 M 0 2530 12.11 D 2012-12-16 Common Stock 2530 1267.50 D Options became exercisable beginning on January 1, 2004 in four equal annual installments. Michael L. Taylor 2012-02-15