0001140361-12-025080.txt : 20120514 0001140361-12-025080.hdr.sgml : 20120514 20120514180928 ACCESSION NUMBER: 0001140361-12-025080 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120511 FILED AS OF DATE: 20120514 DATE AS OF CHANGE: 20120514 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McRae Eric S CENTRAL INDEX KEY: 0001452494 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 12840201 MAIL ADDRESS: STREET 1: 266 COBB AVE CITY: DECATUR STATE: IL ZIP: 62522 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 4 1 doc1.xml FORM 4 X0305 4 2012-05-11 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001452494 McRae Eric S 266 COBB AVENUE DECATUR IL 62522 0 1 0 0 Vice President Common Stock 2012-05-11 4 P 0 68.351 22.50 A 661.709 I By Deferred Compensation Plan Common Stock 830.114 D Common Stock 462.910 I By IRA Common Stock 2318.00 I By 401K plan Includes 105.434 shares acquired through the Company's dividend reinvestment plan with dividends being paid on shares of preferred stock held. Includes 58.695 shares acquired through the Company's dividend reinvestment plan with dividends being paid on shares of preferred stock held. Michael L. Taylor, pursuant to a power of attorney filed 12/18/08. 2012-05-14