0000860413-22-000074.txt : 20220304
0000860413-22-000074.hdr.sgml : 20220304
20220304183227
ACCESSION NUMBER: 0000860413-22-000074
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220302
FILED AS OF DATE: 20220304
DATE AS OF CHANGE: 20220304
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Harrison William Scott Trust
CENTRAL INDEX KEY: 0001908873
STATE OF INCORPORATION: MT
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34653
FILM NUMBER: 22715672
BUSINESS ADDRESS:
STREET 1: PO BOX 7113
CITY: BILLINGS
STATE: MT
ZIP: 59103
BUSINESS PHONE: 406-831-6855
MAIL ADDRESS:
STREET 1: PO BOX 7113
CITY: BILLINGS
STATE: MT
ZIP: 59103
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SCOTT JULIE A
CENTRAL INDEX KEY: 0001234619
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34653
FILM NUMBER: 22715676
MAIL ADDRESS:
STREET 1: P O BOX 30918
CITY: BILLINGS
STATE: MT
ZIP: 59116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Julie A Scott Rose Trustee of the Julie A Scott Rose Trust Dated 5-14-2002
CENTRAL INDEX KEY: 0001908851
STATE OF INCORPORATION: WY
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34653
FILM NUMBER: 22715669
BUSINESS ADDRESS:
STREET 1: 31 BUSBEE ROAD
CITY: ASHEVILLE
STATE: NC
ZIP: 28803
BUSINESS PHONE: 307-752-5605
MAIL ADDRESS:
STREET 1: 31 BUSBEE ROAD
CITY: ASHEVILLE
STATE: NC
ZIP: 28803
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: First Interstate Bank & Julie Scott Rose, Co-TTEEs of the Joan D Scott Trust Dtd 10/16/12
CENTRAL INDEX KEY: 0001908853
STATE OF INCORPORATION: WY
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34653
FILM NUMBER: 22715673
BUSINESS ADDRESS:
STREET 1: PO BOX 2007
CITY: SHERIDAN
STATE: WY
ZIP: 82801
BUSINESS PHONE: 307-672-1491
MAIL ADDRESS:
STREET 1: PO BOX 2007
CITY: SHERIDAN
STATE: WY
ZIP: 82801
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: IXL Ltd Liability Co
CENTRAL INDEX KEY: 0001909090
STATE OF INCORPORATION: WY
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34653
FILM NUMBER: 22715671
BUSINESS ADDRESS:
STREET 1: BOX 190
CITY: DAYTON
STATE: WY
ZIP: 82836
BUSINESS PHONE: 307-752-5605
MAIL ADDRESS:
STREET 1: BOX 190
CITY: DAYTON
STATE: WY
ZIP: 82836
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Harper Grace Scott Trust
CENTRAL INDEX KEY: 0001908895
STATE OF INCORPORATION: MT
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34653
FILM NUMBER: 22715674
BUSINESS ADDRESS:
STREET 1: PO BOX 7113
CITY: BILLINGS
STATE: MT
ZIP: 59103
BUSINESS PHONE: 406-831-6855
MAIL ADDRESS:
STREET 1: PO BOX 7113
CITY: BILLINGS
STATE: MT
ZIP: 59103
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Holland Elizabeth Scott Trust
CENTRAL INDEX KEY: 0001908953
STATE OF INCORPORATION: WY
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34653
FILM NUMBER: 22715668
BUSINESS ADDRESS:
STREET 1: PO BOX 7113
CITY: BILLINGS
STATE: MT
ZIP: 59103
BUSINESS PHONE: 406-831-6855
MAIL ADDRESS:
STREET 1: PO BOX 7113
CITY: BILLINGS
STATE: MT
ZIP: 59103
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Elizabeth Lauren Scott Rose Trust
CENTRAL INDEX KEY: 0001908961
STATE OF INCORPORATION: WY
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34653
FILM NUMBER: 22715675
BUSINESS ADDRESS:
STREET 1: PO BOX 7113
CITY: BILLINGS
STATE: MT
ZIP: 59103
BUSINESS PHONE: 406-831-6855
MAIL ADDRESS:
STREET 1: PO BOX 7113
CITY: BILLINGS
STATE: MT
ZIP: 59103
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Juliana Sarah Scott Rose Trust
CENTRAL INDEX KEY: 0001909078
STATE OF INCORPORATION: WY
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34653
FILM NUMBER: 22715670
BUSINESS ADDRESS:
STREET 1: PO BOX 7113
CITY: BILLINGS
STATE: MT
ZIP: 59103
BUSINESS PHONE: 406-831-6855
MAIL ADDRESS:
STREET 1: PO BOX 7113
CITY: BILLINGS
STATE: MT
ZIP: 59103
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FIRST INTERSTATE BANCSYSTEM INC
CENTRAL INDEX KEY: 0000860413
STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022]
IRS NUMBER: 810331430
STATE OF INCORPORATION: MT
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: P O BOX 30918
STREET 2: 401 NO 31ST STREET
CITY: BILLINGS
STATE: MT
ZIP: 59116-0918
BUSINESS PHONE: 4062555300
MAIL ADDRESS:
STREET 1: P O BOX 30918
STREET 2: 401 NO 31ST STREET
CITY: BILLINGS
STATE: MT
ZIP: 59116-0918
FORMER COMPANY:
FORMER CONFORMED NAME: FIRST INTERSTATE BANCSYSTEM OF MONTANA INC
DATE OF NAME CHANGE: 19930615
4
1
wf-form4_164643672963773.xml
FORM 4
X0306
4
2022-03-02
0
0000860413
FIRST INTERSTATE BANCSYSTEM INC
FIBK
0001234619
SCOTT JULIE A
31 BUSBEE ROAD
ASHEVILLE
NC
28803
0
0
1
0
0001908961
Elizabeth Lauren Scott Rose Trust
P.O. BOX 7113
BILLINGS
MT
59103
0
0
1
0
0001908895
Harper Grace Scott Trust
P.O. BOX 7113
BILLINGS
MT
59103
0
0
1
0
0001908853
First Interstate Bank & Julie Scott Rose, Co-TTEEs of the Joan D Scott Trust Dtd 10/16/12
P.O. BOX 2007
SHERIDAN
WY
82801
0
0
1
0
0001908873
Harrison William Scott Trust
P.O. BOX 7113
BILLINGS
MT
59103
0
0
1
0
0001909090
IXL Ltd Liability Co
P.O. BOX 7113
BILLINGS
MT
59103
0
0
1
0
0001909078
Juliana Sarah Scott Rose Trust
P.O. BOX 7113
BILLINGS
MT
59103
0
0
1
0
0001908851
Julie A Scott Rose Trustee of the Julie A Scott Rose Trust Dated 5-14-2002
31 BUSBEE ROAD
ASHEVILLE
NC
28803
0
0
1
0
0001908953
Holland Elizabeth Scott Trust
P.O. BOX 7113
BILLINGS
MT
59103
0
0
1
0
Class A Common Stock
2022-03-02
4
C
0
25700
A
573956
I
see footnote
Class B Common Stock
0.0
2022-03-02
4
C
0
25700
0
D
Class A Common Stock
25700.0
2363457
I
see footnote
Class B Common Stock
0.0
Class A Common Stock
1933.0
1933
D
The Class B Common Stock is convertible at any time into Class A Common Stock on a share for share basis at the discretion of the holder. The conversion feature of the Class B Common Stock does not expire.
As a result of certain agreements entered into by and among the reporting persons, the Issuer, and certain other stockholders of the Issuer, the reporting persons may be deemed members of a group with the other signatories thereto and may be deemed to share beneficial ownership of the securities reported herein. Each of the reporting persons disclaims beneficial ownership of any such securities, except to the extent of its pecuniary interest therein. The reporting persons expect to file future Forms 4, if any, together with Julie A Scott.
Composed of 131,731 shares held of record by Juliana Sarah Scott Rose Trust, 131,731 shares held of record by Elizabeth Lauren Scott Rose Trust, 94,863 shares held of record by Holland Elizabeth Scott Trust, 94,863 shares held of record by Harper Grace Scott Trust, 94,863 shares held of record by Harrison William Scott Trust, 25,700 shares held of record by IXL Limited Liability Company, and 205 shares held of record by the estate of Thomas W Scott.
Composed of 397,210 shares held of record by Julie A Scott Rose Trustee of the Julie A Scott Rose Trust Dated 5-14-2002, 10,424 shares held of record by First Interstate Bank & Julie Scott Rose, Co-TTEEs of the Joan D Scott Trust Dtd 10/16/12, 196,828 shares held of record by IXL Limited Liability Company, 1,669,660 shares held of record by Thomas W Scott Trust Dtd 8/22/95, Thomas W Scott Trustee, and 89,335 shares held of record by Exempt Thomas W Scott Marital Trust 2.
Form 1 of 2
Julie Scott Rose, By **
2022-03-04
JULIE A SCOTT ROSE TRUSTEE OF THE JULIE A SCOTT ROSE TRUST DATED 5-14-2002, By: **
2022-03-04
FIRST INTERSTATE BANK & JULIE SCOTT ROSE, CO-TTEES OF THE JOAN D SCOTT TRUST DTD 10/16/12, By: **
2022-03-04
IXL LIMITED LIABILITY COMPANY, By: **
2022-03-04
JULIANA SARAH SCOTT ROSE TRUST, By: **
2022-03-04
ELIZABETH LAUREN SCOTT ROSE TRUST, By: **
2022-03-04
HOLLAND ELIZABETH SCOTT TRUST, By: **
2022-03-04
HARPER GRACE SCOTT TRUST, By: **
2022-03-04
HARRISON WILLIAM SCOTT TRUST, By: **
2022-03-04
**By: /s/ Timothy Leuthold, Attorney-in-Fact
2022-03-04