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