0001209191-17-056345.txt : 20171006 0001209191-17-056345.hdr.sgml : 20171006 20171006191755 ACCESSION NUMBER: 0001209191-17-056345 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171004 FILED AS OF DATE: 20171006 DATE AS OF CHANGE: 20171006 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCOTT RANDALL I CENTRAL INDEX KEY: 0001198534 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34653 FILM NUMBER: 171128344 MAIL ADDRESS: STREET 1: C/O FIRST INTERSTATE BANCSYSTEM INC STREET 2: P O BOX 30918 CITY: BILLINGS STATE: MT ZIP: 59116 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-10-04 0 0000860413 FIRST INTERSTATE BANCSYSTEM INC FIBK 0001198534 SCOTT RANDALL I PO BOX 30918 BILLINGS MT 59116-0918 1 0 1 0 Class A Common Stock 2017-10-04 4 M 0 1430 0.00 A 1430 I By Spouse Class A Common Stock 19391 I By Trust Class A Common Stock 9648 I By 401(k) Class B Common Stock 0.00 2017-10-04 4 M 0 1430 0.00 D Class A Common Stock 1430 75335 I By Spouse Class B Common Stock 0.00 Class A Common Stock 156279 156279 I By Trust Class B Common Stock 0.00 Class A Common Stock 3795676 3795676 I As Managing General Partner of NBar5 Ltd. Partnership Class B Common Stock 0.00 Class A Common Stock 85836 85836 I By Self as Co-Trustee Class B Common Stock 0.00 Class A Common Stock 803310 803310 I By Partnership This number includes 716 shares that were held directly by Reporting Person but transferred by Reporting Person on August 8, 2017 into Reporting Person's Revocable Trust. This transfer did not affect Reporting Person's beneficial ownership. On March 5, 2010, the Company recapitalized its existing common stock. The recapitalization included, among other things, a redesignation of existing common stock as Class B common stock and the creation of a new class of common stock designated as Class A common stock, which is listed on the NASDAQ stock market under the symbol "FIBK". 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/ EMILY L. ADAM, Attorney-in-Fact for Reporting Person 2017-10-06