0001140361-12-025081.txt : 20120514
0001140361-12-025081.hdr.sgml : 20120514
20120514180959
ACCESSION NUMBER: 0001140361-12-025081
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: Dively Joseph R
CENTRAL INDEX KEY: 0001301318
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-13368
FILM NUMBER: 12840205
MAIL ADDRESS:
STREET 1: 13179 E. COUNTY ROAD 720N
CITY: CHARLESTON
STATE: IL
ZIP: 61920
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
0001301318
Dively Joseph R
13179 E. COUNTY ROAD 720N
CHARLESTON
IL
61920
1
1
0
0
President-FMIB&T
Common Stock
2012-05-11
4
P
0
316.815
22.50
A
8527.175
I
By Deferred Compensation Plan
Common Stock
6740.958
D
Includes 565.217 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 08/25/04.
2012-05-14