0000860413-22-000075.txt : 20220304 0000860413-22-000075.hdr.sgml : 20220304 20220304183324 ACCESSION NUMBER: 0000860413-22-000075 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: SCOTT JULIE A CENTRAL INDEX KEY: 0001234619 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34653 FILM NUMBER: 22715685 MAIL ADDRESS: STREET 1: P O BOX 30918 CITY: BILLINGS STATE: MT ZIP: 59116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCOTT THOMAS W CENTRAL INDEX KEY: 0001198535 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34653 FILM NUMBER: 22715684 MAIL ADDRESS: STREET 1: C/O FIRST INTERSTATE BANCSYSTEM INC STREET 2: P O BOX 30918 CITY: BILLINGS STATE: MT ZIP: 59116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Exempt Thomas W Scott Marital Trust 2 CENTRAL INDEX KEY: 0001909336 STATE OF INCORPORATION: WY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34653 FILM NUMBER: 22715682 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: Thomas W Scott Trust Dtd 8/22/95, Thomas W Scott Trustee CENTRAL INDEX KEY: 0001908858 STATE OF INCORPORATION: WY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34653 FILM NUMBER: 22715683 BUSINESS ADDRESS: STREET 1: FIRST INTERSTATE BANK, TRUSTEE STREET 2: PO BOX 2007 CITY: SHERIDAN STATE: WY ZIP: 82801 BUSINESS PHONE: 307-672-1491 MAIL ADDRESS: STREET 1: FIRST INTERSTATE BANK, TRUSTEE STREET 2: PO BOX 2007 CITY: SHERIDAN STATE: WY ZIP: 82801 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_164643678741517.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 0001909336 Exempt Thomas W Scott Marital Trust 2 FIRST INTERSTATE BANK, TRUSTEE P.O. BOX 2007 SHERIDAN WY 82801 0 0 1 0 0001198535 SCOTT THOMAS W FIRST INTERSTATE BANK, TRUSTEE P.O. BOX 2007 SHERIDAN WY 82801 0 0 1 0 0001908858 Thomas W Scott Trust Dtd 8/22/95, Thomas W Scott Trustee FIRST INTERSTATE BANK, TRUSTEE P.O. BOX 2007 SHERIDAN WY 82801 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 2 of 2 THOMAS W SCOTT TRUST DTD 8/22/95, THOMAS W SCOTT TRUSTEE, By: ** 2022-03-04 EXEMPT THOMAS W SCOTT MARITAL TRUST 2, By: ** 2022-03-04 THOMAS W SCOTT, By: ** 2022-03-04 Julie Scott Rose, By ** 2022-03-04 **By: /s/ Timothy Leuthold, Attorney-in-Fact 2022-03-04