SEC Form 4 · accession 0001127602-18-015788
FIRST MID BANCSHARES, INC. · FMBH
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert S Cook
Director
Period of report
May 1, 2018
Accepted (ET)
May 1, 2018 · 5:34 pm 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 StockF1,F2 | May 1, 2018 | A | 8,160 | — | A | 13,814 | I | By LLC |
| Common StockF3 | May 1, 2018 | A | 2,880 | — | A | 4,266 | I | by 401k |
| Common StockF4 | May 1, 2018 | A | 1,840 | — | A | 1,840 | I | by IRA |
| Common Stock | holding | — | — | — | 14,122 | D | ||
| Common Stock | holding | — | — | — | 1,980 | I | As Custodian for Children | |
| Common Stock | holding | — | — | — | 244 | I | By Spouse |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Received in exchange for 10,200 shares of First BancTrust Corporation ("First Bank") common stock in connection with the merger of First Bank into a wholly owned subsidiary of First Mid-Illinois Bancshares, Inc. ("First Mid") (the "Merger"). On the effective date of the Merger, each share of First Bank common stock was converted into 0.80 shares of First Mid common stock, $5.00 in cash, and cash-in-lieu of any fractional share.
- F2Reflects transactions not required to be reported pursuant to Section 16 of the Securities Exchange Act of 1934, as amended.
- F3Received in exchange for 3,600 shares of First BancTrust Corporation ("First Bank") common stock in connection with the merger of First Bank into a wholly owned subsidiary of First Mid-Illinois Bancshares, Inc. ("First Mid") (the "Merger"). On the effective date of the Merger, each share of First Bank common stock was converted into 0.80 shares of First Mid common stock, $5.00 in cash, and cash-in-lieu of any fractional share.
- F4Received in exchange for 2,300 shares of First BancTrust Corporation ("First Bank") common stock in connection with the merger of First Bank into a wholly owned subsidiary of First Mid-Illinois Bancshares, Inc. ("First Mid") (the "Merger"). On the effective date of the Merger, each share of First Bank common stock was converted into 0.80 shares of First Mid common stock, $5.00 in cash, and cash-in-lieu of any fractional share.