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