0001209191-16-148939.txt : 20161108 0001209191-16-148939.hdr.sgml : 20161108 20161108190641 ACCESSION NUMBER: 0001209191-16-148939 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161104 FILED AS OF DATE: 20161108 DATE AS OF CHANGE: 20161108 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 FORMER COMPANY: FORMER CONFORMED NAME: FIRST INTERSTATE BANCSYSTEM OF MONTANA INC DATE OF NAME CHANGE: 19930615 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: 161982475 MAIL ADDRESS: STREET 1: C/O FIRST INTERSTATE BANCSYSTEM INC STREET 2: P O BOX 30918 CITY: BILLINGS STATE: MT ZIP: 59116 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-11-04 0 0000860413 FIRST INTERSTATE BANCSYSTEM INC FIBK 0001198535 SCOTT THOMAS W PO BOX 30918 BILLINGS MT 59116-0918 0 0 1 0 Class A Common Stock 2016-11-04 4 C 0 26815 0.00 A 26815 I By Trust Class A Common Stock 6485 D Class B Common Stock 0.00 2016-11-04 4 C 0 26815 0.00 D 2010-03-05 2019-12-31 Class A Common Stock 26815 2355103 I By Trust Class B Common Stock 0.00 2010-03-05 2019-12-31 Class A Common Stock 222528 222528 I As Ownership of Limited Liability Company 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. /s/ MARCY D. MUTCH, Attorney-in-Fact for Reporting Person 2016-11-08