0001209191-17-064266.txt : 20171206 0001209191-17-064266.hdr.sgml : 20171206 20171206192527 ACCESSION NUMBER: 0001209191-17-064266 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171204 FILED AS OF DATE: 20171206 DATE AS OF CHANGE: 20171206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCOTT HOMER A JR CENTRAL INDEX KEY: 0001195494 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34653 FILM NUMBER: 171243243 MAIL ADDRESS: STREET 1: FIRST INTERSTATE BANK STREET 2: PO BOX 2007 CITY: SHERIDAN STATE: WY ZIP: 82801 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 2017-12-04 0 0000860413 FIRST INTERSTATE BANCSYSTEM INC FIBK 0001195494 SCOTT HOMER A JR PO BOX 30918 BILLINGS MT 59116 0 0 1 0 Class A Common Stock 2017-12-04 4 C 0 10000 A 11328 I By Trust Class A Common Stock 26193 I By IRA Class A Common Stock 13119 I By Spouse Class B Common Stock 0.00 2017-12-04 4 C 0 10000 0.00 D Class A Common Stock 10000 2278750 I By Trust Class B Common Stock 0.00 Class A Common Stock 2047 2047 I By Spouse 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/ Kirk D. Jensen, Attorney-in-Fact for Reporting Person 2017-12-06