SEC Form 4 · accession 0001415889-16-007085

First Clover Leaf Financial Corp. · FLCF

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — PRESIDENT AND CEO · Director

Period of report

Sep 8, 2016

Accepted (ET)

Sep 8, 2016 · 4:56 pm EDT

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001283582

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	D/I	Nature of ownership
Common Stock^F1	Sep 8, 2016	U	13,700	—	D	I	By Roth IRA
Common Stock^F1	Sep 8, 2016	U	4,725	—	D	D
Common Stock^F1	Sep 8, 2016	U	4,167	—	D	I	By Spouse's IRA

No Table II lines on this filing.

F1On September 8, 2016, First Mid-Illinois Bancshares, Inc. ("FMBH") completed the previously announced merger of First Clover Leaf Financial Corp. ("FCLF") with and into FMBH, pursuant to the Agreement and Plan of Merger, dated April 26, 2016, as amended, by and between FMBH and FCLF (the "Merger Agreement"). In accordance with the terms of the Merger Agreement, at the effective time of the merger, the shares of FCLF common stock were converted into the right to receive, at the election of each shareholder and subject to the proration and allocation procedures set forth in the Merger Agreement, either (i) $12.87 in cash or (ii) 0.495 shares of FMBH common stock (the "stock consideration"), with cash paid in lieu of fractional shares. Based on the closing stock price of FMBH common stock on the NASDAQ Global Market on September 8, 2016, the closing date of the merger, of $25.35, the value of the stock consideration was $12.55.