0001209191-17-058492.txt : 20171031
0001209191-17-058492.hdr.sgml : 20171031
20171031190523
ACCESSION NUMBER: 0001209191-17-058492
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20171027
FILED AS OF DATE: 20171031
DATE AS OF CHANGE: 20171031
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Scott Jonathan R
CENTRAL INDEX KEY: 0001361935
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34653
FILM NUMBER: 171166966
MAIL ADDRESS:
STREET 1: 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
2017-10-27
0
0000860413
FIRST INTERSTATE BANCSYSTEM INC
FIBK
0001361935
Scott Jonathan R
PO BOX 30918
BILLINGS
MT
59116-0191
1
0
0
0
Class A Common Stock
2017-10-27
4
M
0
100000
0.00
A
113188
I
By Trust
Class A Common Stock
5556
D
Class B Common Stock
0.00
2017-10-27
4
M
0
100000
0.00
D
Class A Common Stock
100000
602527
I
By Trust
Class B Common Stock
0.00
Class A Common Stock
265
265
D
Class B Common Stock
0.00
Class A Common Stock
50000
50000
I
By Spouse
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
2017-10-31
EX-24.4_749795
2
poa.txt
POA DOCUMENT
LIMITED POWER OF ATTORNEY FOR
SECTION 16 REPORTING OBLIGATIONS
The undersigned hereby makes, constitutes and appoints each of Kevin P. Riley,
Marcy D. Mutch, Kirk D. Jensen, and Emily L. Adam each acting individually, as
the undersigned's true and lawful attorney-in-fact, with full power and
authority as hereinafter described on behalf of and in the name, place and stead
of the undersigned to:
(1) prepare, execute, acknowledge, deliver and file Forms ID, 3, 4 and 5
(including any amendments thereto) with respect to the securities of First
Interstate BancSystem, Inc., a Montana corporation (the "Company"), with the
United States Securities and Exchange Commission, any national securities
exchanges and the Company, as considered necessary or advisable under Section
16(a) of the Securities Exchange Act of 1934 and the rules and regulations
promulgated thereunder, as amended from time to time (the "Exchange Act");
(2) seek or obtain, as the undersigned's representative and on the undersigned's
behalf, information on transactions in the Company's securities from any third
party, including brokers, employee benefit plan administrators and trustees, and
the undersigned hereby authorizes any such person to release any such
information to the undersigned and approves and ratifies any such release of
information; and
(3) perform any and all other acts which in the discretion of such
attorney-in-fact are necessary or desirable for and on behalf of the undersigned
in connection with the foregoing.
The undersigned acknowledges that:
(1) this Power of Attorney authorizes, but does not require, each such
attorney-in-fact to act in their discretion on information provided to such
attorney-in-fact without independent verification of such information;
(2) any documents prepared and/or executed by either such attorney-in-fact on
behalf of the undersigned pursuant to this Power of Attorney will be in such
form and will contain such information and disclosure as such attorney-in-fact,
in his or her discretion, deems necessary or desirable;
(3) neither the Company nor either of such attorneys-in-fact assumes (i) any
liability for the undersigned's responsibility to comply with the requirements
of the Exchange Act, (ii) any liability of the undersigned for any failure to
comply with such requirements, or (iii) any obligation or liability of the
undersigned for profit disgorgement under Section 16(b) of the Exchange Act; and
(4) this Power of Attorney does not relieve the undersigned from responsibility
for compliance with the undersigned's obligations under the Exchange Act,
including without limitation the reporting requirements under Section 16 of the
Exchange Act.
The undersigned hereby gives and grants each of the foregoing attorneys-in-fact
full power and authority to do and perform all and every act and thing
whatsoever requisite, necessary or appropriate to be done in and about the
foregoing matters as fully to all intents and purposes as the undersigned might
or could do if present, hereby ratifying all that each such attorney-in-fact of,
for and on behalf of the undersigned, shall lawfully do or cause to be done by
virtue of this Limited Power of Attorney.
This Power of Attorney shall remain in full force and effect until revoked by
the undersigned in a signed writing delivered to each such attorney-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 24th day of May, 2017.
/s/ JONATHAN R. SCOTT
Signature
Jonathan R. Scott
Print Name
STATE OF MONTANA )
)
COUNTY OF YELLOWSTONE )
On this 24th day of May, 2017, before me, a Notary Public for the State of
Montana, personally appeared Jonathan R. Scott, known to me to be the person
named in the foregoing, and acknowledged to me that he executed the within
instrument.
IN WITNESS WHEREOF, I have hereunto set my hand and Official Seal the day and
year first above written.
(SEAL) /s/ Jacqueline Hill
Print Name: Jacqueline Hill
Notary Public for the State of Montana
Residing at: Billings, Montana
My Commission Expires: 3/15/2021