EX-FILING FEES 5 exh_107.htm EXHIBIT 107

Exhibit 107

 

Calculation of Filing Fee Tables

 

Form S-4 (Form Type)

 

First Mid Bancshares, Inc.

(Exact Name of Registrant as Specified in its Charter)

 

Table 1: Newly Registered and Carry Forward Securities

 

 

 

 

 

 

Security Type

 

 

 

Security Class Title

 

 

Fee Calculation or Carry Forward Rule

 

 

 

 

Amount Registered

 

 

Proposed Maximum Offering Price Per Share

 

 

 

Maximum Aggregate Offering Price

 

 

 

 

Fee Rate

 

 

 

Amount of

Registration Fee

 

 

 

Carry Forward Form Type

 

 

 

Carry Forward File Number

 

 

Carry Forward Initial effective date

Filing Fee Previously Paid In Connection with Unsold Securities to be Carried Forward
Newly Registered Securities
Fees to Be Paid

 

-

 

 

-

 

 

-

 

 

-

 

 

-

 

 

-

 

 

-

 

 

-

 

 

-

 

 

-

 

 

-

 

 

-

 

 

Fees Previously Paid

 

 

Common shares

Common Shares,

$4.00

par value per share

 

 

457(f)(1)

457(c)

 

 

3,328,090

(1)

 

 

$28.00

 

 

$81,031,748 (2)

 

 

0.0001102

 

 

$8,930 (3)

       
Carry Forward Securities
Carry Forward Securities

 

-

 

-

 

-

 

-

 

 

-

   

 

-

 

-

 

-

 

-

  Total Offering Amounts   $81,031,748 (2)   $8,930        
  Total Fees Previously Paid       $8,930        
  Total Fee Offsets       -        
  Net Fees Due       $0.00        

 

1Relates to the maximum number of common stock, $4.00 par value per share (“First Mid common stock”), of the registrant, First Mid Bancshares, Inc., a Delaware corporation (“First Mid”), issuable to holders of common stock, $1.00 par value per share (“Blackhawk common stock”) of Blackhawk Bancorp, Inc., a Wisconsin corporation (“Blackhawk”) and restricted stock awards of Blackhawk, upon completion of the merger of Blackhawk with and into Eagle Sub LLC, a Wisconsin limited liability company (“merger sub”) and a direct, wholly owned subsidiary of First Mid (the “merger”), with merger sub surviving as a direct wholly owned subsidiary of First Mid (the “surviving company”). The amount of First Mid common stock to be registered is equal to the sum of (a) 2,893,991 shares of Blackhawk common stock outstanding (including restricted stock awards) as of May 25, 2023 multiplied by (b) 1.15 (the “exchange ratio”).

 

2Estimated solely for purposes of calculating the registration fee required by Section 6(b) of the Securities Act of 1933, as amended (the “Securities Act”), and calculated in accordance with Rules 457(c) and 457(f)(1) promulgated thereunder. The proposed maximum aggregate offering price is solely for the purposes of calculating the registration fee and was calculated based upon the market value of shares of Blackhawk common stock (the securities to be cancelled in the mergers) in accordance with Rule 457(c) under the Securities Act as follows: (a) the product of (i) $28.00, the average of the high and low prices per share of Blackhawk common stock on May 25, 2023, as quoted on the OTCQX Market, and (ii) 2,893,991, the estimated maximum number of shares of Blackhawk common stock that may be exchanged for the First Mid shares being registered.

 

3Calculated pursuant to Section 6(b) of the Securities Act at a rate equal to $110.20 per $1,000,000 of the proposed maximum aggregate offering pric