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