0001140361-12-048603.txt : 20121123
0001140361-12-048603.hdr.sgml : 20121122
20121123142139
ACCESSION NUMBER: 0001140361-12-048603
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: Slabach Christopher L
CENTRAL INDEX KEY: 0001434758
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-13368
FILM NUMBER: 121222746
MAIL ADDRESS:
STREET 1: 1504 WOODLAWN DR.
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
3
1
doc1.xml
FORM 3
X0206
3
2012-11-16
0
0000700565
FIRST MID ILLINOIS BANCSHARES INC
FMBH
0001434758
Slabach Christopher L
1504 WOODLAWN DR.
CHARLESTON
IL
61920
0
1
0
0
Senior V.P. Risk Mgmt
Common Stock
32
D
Common Stock
295.89
I
By 401K Plan
Stock Options
26.10
2009-01-01
2017-12-11
Common Stock
1500
D
Options become exercisable in four equal annual installments beginning on 1/1/2009.
Christopher L. Slabach
2012-11-23