0001140361-13-000743.txt : 20130103
0001140361-13-000743.hdr.sgml : 20130103
20130103170454
ACCESSION NUMBER: 0001140361-13-000743
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120124
FILED AS OF DATE: 20130103
DATE AS OF CHANGE: 20130103
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dively Joseph R
CENTRAL INDEX KEY: 0001301318
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-13368
FILM NUMBER: 13507759
MAIL ADDRESS:
STREET 1: 13179 E. COUNTY ROAD 720N
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
4/A
1
doc1.xml
FORM 4/A
X0306
4/A
2012-01-24
2012-02-10
0
0000700565
FIRST MID ILLINOIS BANCSHARES INC
FMBH
0001301318
Dively Joseph R
13179 E. COUNTY ROAD 720N
CHARLESTON
IL
61920
1
1
0
0
President-FMIB&T
Common Stock
2012-01-24
4
A
0
682
0
A
6621.098
D
Acquired pursuant to meeting performance conditions on restricted stock awards. 25% vested on 1/24/2012 and the remaining will vest over the next 3 years.
Michael L. Taylor, pursuant to a power of attorney filed 08/25/04.
2013-01-03