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