0001140361-12-038354.txt : 20120824
0001140361-12-038354.hdr.sgml : 20120824
20120824105227
ACCESSION NUMBER: 0001140361-12-038354
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120823
FILED AS OF DATE: 20120824
DATE AS OF CHANGE: 20120824
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: 121053501
MAIL ADDRESS:
STREET 1: RR1, BOX 226
CITY: SULLIVAN
STATE: IL
ZIP: 61951
4
1
doc1.xml
FORM 4
X0306
4
2012-08-23
0
0000700565
FIRST MID ILLINOIS BANCSHARES INC
FMBH
0001185506
MELVIN GARY W
RR 1, BOX 226
SULLIVAN
IL
61951
1
0
0
0
Common Stock
2012-08-23
4
P
0
700
25.50
A
316940.970
D
Common Stock
40952.332
I
By Deferred Comp Plan
Michael L. Taylor, pursuant to a power of attorney filed 11/01/2002
2012-08-24