0001140361-13-002759.txt : 20130123
0001140361-13-002759.hdr.sgml : 20130123
20130123114846
ACCESSION NUMBER: 0001140361-13-002759
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130121
FILED AS OF DATE: 20130123
DATE AS OF CHANGE: 20130123
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dively Joseph R
CENTRAL INDEX KEY: 0001301318
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-13368
FILM NUMBER: 13542050
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
1
doc1.xml
FORM 4
X0306
4
2013-01-21
0
0000700565
FIRST MID ILLINOIS BANCSHARES INC
FMBH
0001301318
Dively Joseph R
13179 E. COUNTY ROAD 720N
CHARLESTON
IL
61920
1
0
0
0
Common Stock
2013-01-21
4
A
0
982
0
A
8861.901
D
Common Stock
9655.625
I
By Deferred Comp Plan
Acquired pursuant to meeting performance conditions on restricted stock awards. Vest annually in 25% increments.
Michael L. Taylor, pursuant to a power of attorney filed 08/25/2004
2013-01-23