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