0000860413-22-000117.txt : 20220329
0000860413-22-000117.hdr.sgml : 20220329
20220329192005
ACCESSION NUMBER: 0000860413-22-000117
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220325
FILED AS OF DATE: 20220329
DATE AS OF CHANGE: 20220329
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: 22782658
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 Jonathan R
CENTRAL INDEX KEY: 0001361935
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34653
FILM NUMBER: 22782660
MAIL ADDRESS:
STREET 1: P.O. BOX 30918
CITY: BILLINGS
STATE: MT
ZIP: 59116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jonathan Scott as Trustee of the Jonathan R Scott Trust Dated as of 4/21/04
CENTRAL INDEX KEY: 0001908962
STATE OF INCORPORATION: WY
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34653
FILM NUMBER: 22782656
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: 22782659
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: 22782657
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_164859598661796.xml
FORM 4
X0306
4
2022-03-25
0
0000860413
FIRST INTERSTATE BANCSYSTEM INC
FIBK
0001361935
Scott Jonathan R
PO BOX 7113
BILLINGS
MT
59103
1
0
1
0
0001908895
Harper Grace Scott Trust
P.O. BOX 7113
BILLINGS
MT
59103
0
0
1
0
0001908873
Harrison William Scott Trust
P.O. BOX 7113
BILLINGS
MT
59103
0
0
1
0
0001908953
Holland Elizabeth Scott Trust
P.O. BOX 7113
BILLINGS
MT
59103
0
0
1
0
0001908962
Jonathan Scott as Trustee of the Jonathan R Scott Trust Dated as of 4/21/04
4 CANYON VIEW DRIVE, SHERIDAN, WY 82801
SHERIDAN
WY
82801
0
0
1
0
Class A Common Stock
2022-03-25
4
C
0
767559
0
A
1064998
I
See Footnote
Class A Common Stock
2022-03-25
4
C
0
265
0
A
14425
D
Class B Common Stock
0.0
2022-03-25
4
C
0
767559
0
D
Class A Common Stock
767559.0
0
I
See footnote
Class B Common Stock
0.0
2022-03-25
4
C
0
265
0
D
Class A Common Stock
265.0
0
D
Pursuant to the Issuer's amended and restated articles of incorporation, as amended, because the aggregate number of shares of Class B common stock constituted less than twenty percent (20%) of the aggregate number of shares of the Issuer's issued and outstanding common stock as of March 25, 2022, the record date of the Issuer's 2022 annual meeting of shareholders, each outstanding share of Class B common stock was automatically converted into one share of Class A common stock.
Composed of 94,863 shares held of record by Holland Elizabeth Scott Trust, 94,683 shares held of record by Harper Grace Scott Trust, 94,863 shares held of record by Harrison William Scott Trust, 520,731 shares held of record by Jonathan Scott as Trustee of the Jonathan R Scott Trust Dated as of 4/21/04, 209,678 shares held of record by IXL Limited Liability Company, and 50,000 shares held of record by Jonathan Scott's spouse.
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 and 5, if any, together with Jonathan R. Scott with the indication of direct or indirect ownership in Tables I and II being made from Jonathan R. Scott's perspective. The nature of beneficial ownership is described in detail by footnote for all reporting persons.
Composed of 520,731 shares held of record by Jonathan Scott as Trustee of the Jonathan R Scott Trust Dated as of 4/21/04, 196,828 shares held of record by IXL Limited Liability Company, and 50,000 shares held of record by Jonathan Scott's spouse.
JONATHAN R. SCOTT, By:**
2022-03-29
JONATHAN SCOTT AS TRUSTEE OF THE JONATHAN R SCOTT TRUST DATED AS OF 4/21/04, By:**
2022-03-25
HARPER GRACE SCOTT TRUST, By: **
2022-03-29
HARRISON WILLIAM SCOTT TRUST, By: **
2022-03-29
HOLLAND ELIZABETH SCOTT TRUST, By: **
2022-03-29
**By: /s/ Timothy Leuthold, Attorney-in-Fact for Reporting Person
2022-03-29