0001140361-12-047691.txt : 20121116 0001140361-12-047691.hdr.sgml : 20121116 20121116152538 ACCESSION NUMBER: 0001140361-12-047691 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121115 FILED AS OF DATE: 20121116 DATE AS OF CHANGE: 20121116 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: 121211518 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 X0306 4 2012-11-15 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001452494 McRae Eric S 266 COBB AVENUE DECATUR IL 62522 0 1 0 0 Executive Vice President Common Stock 2012-11-15 4 P 0 142.803 24.50 A 883.031 I By Deferred Compensation Plan Common Stock 932.048 D Common Stock 462.910 I By IRA Common Stock 2370.050 I By 401k Plan Includes 95.098 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 12/18/2008 2012-11-16