0000899243-22-012695.txt : 20220329
0000899243-22-012695.hdr.sgml : 20220329
20220329181551
ACCESSION NUMBER: 0000899243-22-012695
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: 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: 22782435
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: SCOTT THOMAS W
CENTRAL INDEX KEY: 0001198535
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34653
FILM NUMBER: 22782429
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: SCOTT JULIE A
CENTRAL INDEX KEY: 0001234619
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34653
FILM NUMBER: 22782437
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: 22782436
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: 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: 22782430
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: 22782431
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
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: 22782432
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: 22782433
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: 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: 22782434
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
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
0001234619
SCOTT JULIE A
31 BUSBEE ROAD
ASHEVILLE
NC
28803
0
0
1
0
0001908851
Julie A Scott Rose Trustee of the Julie A Scott Rose Trust Dated 5-14-2002
PO 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
PO BOX 7113
BILLINGS
MT
59103
0
0
1
0
0001909090
IXL Ltd Liability Co
PO BOX 7113
BILLINGS
MT
59103
0
0
1
0
0001909078
Juliana Sarah Scott Rose Trust
PO BOX 7113
BILLINGS
MT
59103
0
0
1
0
0001908961
Elizabeth Lauren Scott Rose Trust
PO BOX 7113
BILLINGS
MT
59103
0
0
1
0
0001908858
Thomas W Scott Trust Dtd 8/22/95, Thomas W Scott Trustee
PO BOX 7113
BILLINGS
MT
59103
0
0
1
0
0001909336
Exempt Thomas W Scott Marital Trust 2
PO BOX 7113
BILLINGS
MT
59103
0
0
1
0
0001198535
SCOTT THOMAS W
PO BOX 7113
BILLINGS
MT
59103
0
0
1
0
Class A Common Stock
2022-03-25
4
C
0
2391090
A
2641907
I
see footnote
Class B Common Stock
0.00
2022-03-25
4
C
0
2391090
0.00
D
Class A Common Stock
2391090
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 Julie A Scott.
Composed of 1,933 shares held of record by Julie A Scott, 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, 209,678 shares held of record by IXL Limited Liability Company, 131,731 shares held of record by Juliana Sarah Scott Rose Trust, 131,731 shares held of record by Elizabeth Lauren Scott Rose Trust, 1,669,660 shares held of record by Thomas W Scott Trust Dtd 8/22/95, Thomas W Scott Trustee, 89,335 shares held of record by First Interstate Bank & Julie Scott Rose, Co-TTEEs of the Exempt Thomas W Scott Marital Trust No 2, and 205 shares held of record by the estate of Thomas W Scott.
Julie A Scott, By: **
2022-03-29
Julie A Scott Rose Trustee of the Julie A Scott Rose Trust Dated 5-14-2002, By: **
2022-03-29
First Interstate Bank & Julie Scott Rose, Co-TTEEs of the Joan D Scott Trust Dtd 10/16/12, By: **
2022-03-29
IXL Limited Liability Company, By: **
2022-03-29
Juliana Sarah Scott Rose Trust, By: **
2022-03-29
Elizabeth Lauren Scott Rose Trust, By: **
2022-03-29
Thomas W Scott Trust Dtd 8/22/95, Thomas W Scott Trustee, By: **
2022-03-29
First Interstate Bank & Julie Scott Rose, Co-TTEEs of the Exempt Thomas W Scott Marital Trust No 2, By: **
2022-03-29
Thomas W Scott, By: **
2022-03-29
**By: /s/ Timothy Leuthold, Attorney-in-Fact
2022-03-29