0001140361-12-015194.txt : 20120313
0001140361-12-015194.hdr.sgml : 20120313
20120313155754
ACCESSION NUMBER: 0001140361-12-015194
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120223
FILED AS OF DATE: 20120313
DATE AS OF CHANGE: 20120313
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: 12687150
MAIL ADDRESS:
STREET 1: RR1, BOX 226
CITY: SULLIVAN
STATE: IL
ZIP: 61951
4
1
doc1.xml
FORM 4
X0304
4
2012-02-23
0
0000700565
FIRST MID ILLINOIS BANCSHARES INC
FMBH
0001185506
MELVIN GARY W
1134 CR 1650 E
SULLIVAN
IL
61951
1
0
0
0
Common Stock
2012-02-23
4
P
0
1400
22.15
A
312043.619
D
Common Stock
2012-03-12
4
P
0
1156
23.00
A
313199.619
D
Common Stock
40617.832
I
By Deferred Comp
William S. Rowland, pursuant to power of attorney filed 11/01/02.
2012-03-13