SEC Form 4 · accession 0001127602-16-052388
FIRST MID BANCSHARES, INC. · FMBH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael L Taylor
Officer — Chief Financial Officer
Period of report
May 16, 2016
Accepted (ET)
May 17, 2016 · 9:25 am EDT
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 | May 16, 2016 | C | 985 | $20.29 | A | 5,071 | D | |
| Common Stock | holding | — | — | — | 4,916 | I | By 401k 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 PreferredF2 | — | May 16, 2016 | C | 4 | D | — | — | Common Stock | 986 | 0 | D |
Explanation of responses
- F1On November 17, 2014 the Company caused the conversion of the Series B 9% Non-cumulative Perpetual Convertible Preferred stock. Each share was converted into 231.267 shares of common stock, cash in lieu of fractional shares.
- F2Each 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.