0001140361-12-047692.txt : 20121116
0001140361-12-047692.hdr.sgml : 20121116
20121116152610
ACCESSION NUMBER: 0001140361-12-047692
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121115
FILED AS OF DATE: 20121116
DATE AS OF CHANGE: 20121116
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: ADAMS CHARLES A /TX
CENTRAL INDEX KEY: 0001185704
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-13368
FILM NUMBER: 121211521
MAIL ADDRESS:
STREET 1: 21 ST. ANDREWS PLACE
CITY: MATTOON
STATE: IL
ZIP: 61938
4
1
doc1.xml
FORM 4
X0306
4
2012-11-15
0
0000700565
FIRST MID ILLINOIS BANCSHARES INC
FMBH
0001185704
ADAMS CHARLES A /TX
1020 N 13TH STREET
MATTOON
IL
61938
1
0
0
0
Common Stock
2012-11-15
4
P
0
382.016
24.50
A
58960.959
I
By Deferred Compensation Plan
Common Stock
78707.159
I
By Spouse
Common Stock
134113.776
D
Common Stock
276146.351
I
By Howell Paving Inc.
Includes 980.392 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 11/01/2002
2012-11-16