0000899243-22-012691.txt : 20220329
0000899243-22-012691.hdr.sgml : 20220329
20220329172938
ACCESSION NUMBER: 0000899243-22-012691
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: Scott Jeremy
CENTRAL INDEX KEY: 0001803925
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34653
FILM NUMBER: 22782201
MAIL ADDRESS:
STREET 1: P.O. BOX 30918
CITY: BILLINGS
STATE: MT
ZIP: 59116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Jeremy Scott TTEE, Jeremy Scott Revocable Trust Dtd 6/25/15
CENTRAL INDEX KEY: 0001909124
STATE OF INCORPORATION: WY
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34653
FILM NUMBER: 22782200
BUSINESS ADDRESS:
STREET 1: 859 MAIN STREET
STREET 2: BOX 592
CITY: DAYTON
STATE: WY
ZIP: 82836
BUSINESS PHONE: (307) 461-7324
MAIL ADDRESS:
STREET 1: 859 MAIN STREET
STREET 2: BOX 592
CITY: DAYTON
STATE: WY
ZIP: 82836
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: NBAR5 S, LP
CENTRAL INDEX KEY: 0001908842
STATE OF INCORPORATION: WY
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34653
FILM NUMBER: 22782199
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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-03-25
0
0000860413
FIRST INTERSTATE BANCSYSTEM INC
FIBK
0001803925
Scott Jeremy
PO BOX 7113
BILLINGS
MT
59103
0
0
1
0
0001909124
Jeremy Scott TTEE, Jeremy Scott Revocable Trust Dtd 6/25/15
PO BOX 7113
BILLINGS
MT
59103
0
0
1
0
0001908842
NBAR5 S, LP
PO BOX 7113
BILLINGS
MT
59103
0
0
1
0
Class A Common Stock
2022-03-25
4
C
0
3485050
A
3485050
I
see footnote
Class B Common Stock
0.00
2022-03-25
4
C
0
3485050
0.00
D
Class A Common Stock
3485050
0
I
see footnote
Pursuant to the Issuer's articles of incorporation, 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 annual meeting of shareholders, each outstanding share of Class B Common Stock was automatically converted into one share of Class A Common Stock..
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 Jeremy Scott.
Composed of 68,942 shares held of record by Jeremy Scott TTEE, Jeremy Scott Revocable Trust Dtd 6/25/15, 3,416,108 shares held of record by NBAR5 Limited Partnership.
Jeremy Scott TTEE, Jeremy Scott Revocable Trust Dtd 6/25/15, By: **
2022-03-29
NBAR5 Limited Partnership, By: **
2022-03-29
Jeremy Scott, By **
2022-03-29
**By: /s/ Timothy Leuthold, Attorney-in-Fact
2022-03-29