0001493152-23-021465.txt : 20230615 0001493152-23-021465.hdr.sgml : 20230615 20230615170617 ACCESSION NUMBER: 0001493152-23-021465 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230613 FILED AS OF DATE: 20230615 DATE AS OF CHANGE: 20230615 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Harper Grace Scott Trust CENTRAL INDEX KEY: 0001908895 STATE OF INCORPORATION: MT FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34653 FILM NUMBER: 231018300 BUSINESS ADDRESS: STREET 1: PO BOX 7113 CITY: BILLINGS STATE: MT ZIP: 59103 BUSINESS PHONE: 406-831-6855 MAIL ADDRESS: STREET 1: PO BOX 7113 CITY: BILLINGS STATE: MT ZIP: 59103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCOTT JULIE A CENTRAL INDEX KEY: 0001234619 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34653 FILM NUMBER: 231018306 MAIL ADDRESS: STREET 1: P O BOX 30918 CITY: BILLINGS STATE: MT ZIP: 59116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Julie A Scott Rose Trustee of the Julie A Scott Rose Trust Dated 5-14-2002 CENTRAL INDEX KEY: 0001908851 STATE OF INCORPORATION: WY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34653 FILM NUMBER: 231018305 BUSINESS ADDRESS: STREET 1: 31 BUSBEE ROAD CITY: ASHEVILLE STATE: NC ZIP: 28803 BUSINESS PHONE: 307-752-5605 MAIL ADDRESS: STREET 1: 31 BUSBEE ROAD CITY: ASHEVILLE STATE: NC ZIP: 28803 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: First Interstate Bank & Julie Scott Rose, Co-TTEEs of the Joan D Scott Trust Dtd 10/16/12 CENTRAL INDEX KEY: 0001908853 STATE OF INCORPORATION: WY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34653 FILM NUMBER: 231018297 BUSINESS ADDRESS: STREET 1: PO BOX 2007 CITY: SHERIDAN STATE: WY ZIP: 82801 BUSINESS PHONE: 307-672-1491 MAIL ADDRESS: STREET 1: PO BOX 2007 CITY: SHERIDAN STATE: WY ZIP: 82801 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Harrison William Scott Trust CENTRAL INDEX KEY: 0001908873 STATE OF INCORPORATION: MT FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34653 FILM NUMBER: 231018299 BUSINESS ADDRESS: STREET 1: PO BOX 7113 CITY: BILLINGS STATE: MT ZIP: 59103 BUSINESS PHONE: 406-831-6855 MAIL ADDRESS: STREET 1: PO BOX 7113 CITY: BILLINGS STATE: MT ZIP: 59103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Exempt Thomas W Scott Marital Trust 2 CENTRAL INDEX KEY: 0001909336 STATE OF INCORPORATION: WY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34653 FILM NUMBER: 231018303 BUSINESS ADDRESS: STREET 1: PO BOX 2007 CITY: SHERIDAN STATE: WY ZIP: 82801 BUSINESS PHONE: 307-672-1491 MAIL ADDRESS: STREET 1: PO BOX 2007 CITY: SHERIDAN STATE: WY ZIP: 82801 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Holland Elizabeth Scott Trust CENTRAL INDEX KEY: 0001908953 STATE OF INCORPORATION: WY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34653 FILM NUMBER: 231018298 BUSINESS ADDRESS: STREET 1: PO BOX 7113 CITY: BILLINGS STATE: MT ZIP: 59103 BUSINESS PHONE: 406-831-6855 MAIL ADDRESS: STREET 1: PO BOX 7113 CITY: BILLINGS STATE: MT ZIP: 59103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Elizabeth Lauren Scott Rose Trust CENTRAL INDEX KEY: 0001908961 STATE OF INCORPORATION: WY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34653 FILM NUMBER: 231018301 BUSINESS ADDRESS: STREET 1: PO BOX 7113 CITY: BILLINGS STATE: MT ZIP: 59103 BUSINESS PHONE: 406-831-6855 MAIL ADDRESS: STREET 1: PO BOX 7113 CITY: BILLINGS STATE: MT ZIP: 59103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Juliana Sarah Scott Rose Trust CENTRAL INDEX KEY: 0001909078 STATE OF INCORPORATION: WY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34653 FILM NUMBER: 231018302 BUSINESS ADDRESS: STREET 1: PO BOX 7113 CITY: BILLINGS STATE: MT ZIP: 59103 BUSINESS PHONE: 406-831-6855 MAIL ADDRESS: STREET 1: PO BOX 7113 CITY: BILLINGS STATE: MT ZIP: 59103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: IXL Ltd Liability Co CENTRAL INDEX KEY: 0001909090 STATE OF INCORPORATION: WY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34653 FILM NUMBER: 231018304 BUSINESS ADDRESS: STREET 1: BOX 190 CITY: DAYTON STATE: WY ZIP: 82836 BUSINESS PHONE: 307-752-5605 MAIL ADDRESS: STREET 1: BOX 190 CITY: DAYTON STATE: WY ZIP: 82836 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: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 401 NO 31ST STREET CITY: BILLINGS STATE: MT ZIP: 59101 BUSINESS PHONE: 4062555311 MAIL ADDRESS: STREET 1: 401 NO 31ST STREET CITY: BILLINGS STATE: MT ZIP: 59101 FORMER COMPANY: FORMER CONFORMED NAME: FIRST INTERSTATE BANCSYSTEM OF MONTANA INC DATE OF NAME CHANGE: 19930615 4 1 ownership.xml X0407 4 2023-06-13 0 0000860413 FIRST INTERSTATE BANCSYSTEM INC FIBK 0001234619 SCOTT JULIE A PO BOX 7113 BILLINGS MT 59103 0 0 1 0 0001908851 Julie A Scott Rose Trustee of the Julie A Scott Rose Trust Dated 5-14-2002 PO BOX 7113 BILLINGS MT 59103 0 0 1 0 0001909090 IXL Ltd Liability Co PO BOX 7113 BILLINGS WY 82836 0 0 1 0 0001909336 Exempt Thomas W Scott Marital Trust 2 PO BOX 7113 BILLINGS MT 59103 0 0 1 0 0001909078 Juliana Sarah Scott Rose Trust PO BOX 7113 BILLINGS MT 59103 0 0 1 0 0001908961 Elizabeth Lauren Scott Rose Trust PO BOX 7113 BILLINGS MT 59103 0 0 1 0 0001908895 Harper Grace Scott Trust PO BOX 7113 BILLINGS MT 59103 0 0 1 0 0001908873 Harrison William Scott Trust PO BOX 7113 BILLINGS MT 59103 0 0 1 0 0001908953 Holland Elizabeth Scott Trust PO BOX 7113 BILLINGS MT 59103 0 0 1 0 0001908853 First Interstate Bank & Julie Scott Rose, Co-TTEEs of the Joan D Scott Trust Dtd 10/16/12 PO BOX 7113 BILLINGS MT 59103 0 0 1 0 0 Class A Common Stock 2023-06-13 5 G 0 E 2 0 D 2376851 I See Footnote Class A Common Stock 2023-06-13 5 G 0 E 2 0 A 2376851 I See Footnote Composed of 2 shares disposed of by the Exempt Thomas W. Scott Marital Trust 2 to the Juliana Sarah Scott Rose Trust (1 Share), and to the Harrison William Scott Trust (1 Share) as a Bonafide gift. Composed of 355,143 shares held of record by Julie A Scott-Rose Trustee of the Julie A Scott Rose Trust Dated 5-14-02, 209,678 shares held of record by IXL Limited Liability Company, 58,537 shares held of record by Holland Elizabeth Scott Trust, 58,537 shares held of record by Harper Grace Scott Trust, 58,538 shares held of record by Harrison William Scott Trust 1,381,865 Shares held of record by the Non-Exempt Thomas W.Scott Marital Trust, 10,424 shares held of record by Joan D. Scott trust DTD 10-16-12, 122,065 shares held of record by Juliana Sarah Scott Rose Trust, 122,064 shares held of record by Elizabeth Lauren Scott Rose Trust. As a result of certain agreements entered into by and among the reporting persons, the Issuer, and certain other stockholders of the Issuer, the reporting persons may be deemed members of a group with the other signatories thereto and may be deemed to share beneficial ownership of the securities reported herein. Each of the reporting persons disclaims beneficial ownership of any such securities, except to the extent of its pecuniary interest therein. The reporting persons expect to file future Forms 4 and 5, if any, together with Julie Scott Rose with the indication of direct or indirect ownership in Table I and Table II being made from Julie Scott Rose's perspective. The nature of beneficial ownership is described in detail by footnote for all reporting persons. JULIE SCOTT ROSE, /s/ Timothy J. Leuthold, Attorney-in-Fact for Reporting Person 2023-06-15 Julie A Scott Rose Trustee of the Julie A Scott Rose Trust Dated 5-14-2002, By: + /s/ Timothy J. Leuthold, Attorney-in-Fact for Reporting Person 2023-06-15 IXL LIMITED LIABILITY COMPANY, By: + /s/ Timothy J. Leuthold, Attorney-in-Fact for Reporting Person 2023-06-15 Exempt Thomas W Scott Marital Trust 2, By: + /s/ Timothy J. Leuthold, Attorney-in-Fact for Reporting Person 2023-06-15 Juliana Sarah Scott Rose Trust, By: + /s/ Timothy J. Leuthold, Attorney-in-Fact for Reporting Person 2023-06-15 Elizabeth Lauren Scott Rose Trust, By: + /s/ Timothy J. Leuthold, Attorney-in-Fact for Reporting Person 2023-06-15 Harper Grace Scott Trust, By: + /s/ Timothy J. Leuthold, Attorney-in-Fact for Reporting Person 2023-06-15 Harrison William Scott Trust, By: + /s/ Timothy J. Leuthold, Attorney-in-Fact for Reporting Person 2023-06-15 Non-Exempt Thomas W Scott Marital Trust, By: + /s/ Timothy J. Leuthold, Attorney-in-Fact for Reporting Person 2023-06-15 Joan D. Scott Trust Dtd 10-16-12, By: + /s/ Timothy J. Leuthold, HOLLAND ELIZABETH SCOTT TRUST, By: + /s/ Timothy Leuthold, Attorney-in-Fact 2023-06-15