0001140361-12-048600.txt : 20121123 0001140361-12-048600.hdr.sgml : 20121122 20121123142018 ACCESSION NUMBER: 0001140361-12-048600 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121116 FILED AS OF DATE: 20121123 DATE AS OF CHANGE: 20121123 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dean Clay M CENTRAL INDEX KEY: 0001562764 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13368 FILM NUMBER: 121222742 MAIL ADDRESS: STREET 1: 2816 WESTERN AVE CITY: MATTOON STATE: IL ZIP: 61938 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 3 1 doc1.xml FORM 3 X0206 3 2012-11-16 0 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001562764 Dean Clay M 2816 WESTERN AVE MATTOON IL 61938 0 1 0 0 SVP Common Stock 1141.901 I By Deferred Compensation Plan Clay M. Dean 2012-11-23