SEC Form 4 · accession 0001127602-16-040503
FIRST MID BANCSHARES, INC. · FMBH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gary W Melvin
Director
Period of report
Feb 10, 2016
Accepted (ET)
Feb 11, 2016 · 10:20 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000700565
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Feb 10, 2016 | P | 4,574 | $26.00 | A | 451,127 | D | |
| Common Stock | holding | — | — | — | 44,504 | I | By Deferred Comp Plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series C 8% Non-cumulative Perpetual Convertible PreferredF1 | — | Feb 10, 2016 | P | 50 | A | — | — | Common Stock | 12,321 | 539 | D |
Explanation of responses
- F1Each share of Series C Convertible Preferred Stock (i) is convertible at any time into 246.427 shares of common stock and cash in lieu of any fractional share of common stock, subject to certain adjustments, (ii) is convertible at First Mid-Illinois Bancshares' option under certain circumstances, (iii) has no expiration date.