0001181431-15-008534.txt : 20150622
0001181431-15-008534.hdr.sgml : 20150622
20150622172515
ACCESSION NUMBER: 0001181431-15-008534
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: SPARKS RAY A
CENTRAL INDEX KEY: 0001012163
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36434
FILM NUMBER: 15945491
MAIL ADDRESS:
STREET 1: 30 S COUNTRY CLUB RD
CITY: MATTOON
STATE: IL
ZIP: 61938
4
1
rrd425888.xml
X0306
4
2015-06-19
0
0000700565
FIRST MID ILLINOIS BANCSHARES INC
FMBH
0001012163
SPARKS RAY A
30 S COUNTRY CLUB ROAD
MATTOON
IL
61938
1
0
0
0
Common Stock
2015-06-19
4
A
0
12345
21.00
A
228645
D
Common Stock
15533
I
By Spouse
Common Stock
89649
I
By Sparks Investment Group Lp
Common Stock
1822
I
By Child
Common Stock
23499.176
I
By Deferred Compensation Plan
Common Stock
18880
I
By Sparks Foundation
/s/ Michael L. Taylor, attorney-in-fact for Mr. Sparks
2015-06-22