0001181431-15-008530.txt : 20150622
0001181431-15-008530.hdr.sgml : 20150622
20150622172123
ACCESSION NUMBER: 0001181431-15-008530
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150619
FILED AS OF DATE: 20150622
DATE AS OF CHANGE: 20150622
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: 1231
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Cook Robert S
CENTRAL INDEX KEY: 0001615123
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36434
FILM NUMBER: 15945465
MAIL ADDRESS:
STREET 1: 631 S BODIN ST
CITY: HINSDALE
STATE: IL
ZIP: 60521
4
1
rrd425886.xml
X0306
4
2015-06-19
0
0000700565
FIRST MID ILLINOIS BANCSHARES INC
FMBH
0001615123
Cook Robert S
631 S BODIN ST
HINSDALE
IL
60521
1
0
0
0
Common Stock
2015-06-19
4
A
0
7143
21.00
A
14122
D
/s/ Michael L. Taylor, attorney-in-fact for Mr. Cook
2015-06-22