SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
SCOTT JULIE A

(Last) (First) (Middle)
31 BUSBEE ROAD

(Street)
ASHEVILLE NC 28803

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
FIRST INTERSTATE BANCSYSTEM INC [ FIBK ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
03/25/2022
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Class A Common Stock 03/25/2022 C 2,391,090 A (1) 2,641,907(2) I see footnote(3)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Class B Common Stock $0.00(1) 03/25/2022 C(1) 2,391,090 (1) (1) Class A Common Stock 2,391,090 $0.00 0 I see footnote(3)
1. Name and Address of Reporting Person*
SCOTT JULIE A

(Last) (First) (Middle)
31 BUSBEE ROAD

(Street)
ASHEVILLE NC 28803

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Julie A Scott Rose Trustee of the Julie A Scott Rose Trust Dated 5-14-2002

(Last) (First) (Middle)
PO BOX 7113

(Street)
BILLINGS MT 59103

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
First Interstate Bank & Julie Scott Rose, Co-TTEEs of the Joan D Scott Trust Dtd 10/16/12

(Last) (First) (Middle)
PO BOX 7113

(Street)
BILLINGS MT 59103

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
IXL Ltd Liability Co

(Last) (First) (Middle)
PO BOX 7113

(Street)
BILLINGS MT 59103

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Juliana Sarah Scott Rose Trust

(Last) (First) (Middle)
PO BOX 7113

(Street)
BILLINGS MT 59103

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Elizabeth Lauren Scott Rose Trust

(Last) (First) (Middle)
PO BOX 7113

(Street)
BILLINGS MT 59103

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Thomas W Scott Trust Dtd 8/22/95, Thomas W Scott Trustee

(Last) (First) (Middle)
PO BOX 7113

(Street)
BILLINGS MT 59103

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Exempt Thomas W Scott Marital Trust 2

(Last) (First) (Middle)
PO BOX 7113

(Street)
BILLINGS MT 59103

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
SCOTT THOMAS W

(Last) (First) (Middle)
PO BOX 7113

(Street)
BILLINGS MT 59103

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. Pursuant to the Issuer's articles of incorporation, because the aggregate number of shares of Class B Common Stock constituted less than twenty percent (20%) of the aggregate number of shares of the Issuer's issued and outstanding common stock as of March 25, 2022, the record date of the Issuer's annual meeting of shareholders, each outstanding share of Class B Common Stock was automatically converted into one share of Class A Common Stock..
2. 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 A Scott.
3. Composed of 1,933 shares held of record by Julie A Scott, 397,210 shares held of record by Julie A Scott Rose Trustee of the Julie A Scott Rose Trust Dated 5-14-2002, 10,424 shares held of record by First Interstate Bank & Julie Scott Rose, Co-TTEEs of the Joan D Scott Trust Dtd 10/16/12, 209,678 shares held of record by IXL Limited Liability Company, 131,731 shares held of record by Juliana Sarah Scott Rose Trust, 131,731 shares held of record by Elizabeth Lauren Scott Rose Trust, 1,669,660 shares held of record by Thomas W Scott Trust Dtd 8/22/95, Thomas W Scott Trustee, 89,335 shares held of record by First Interstate Bank & Julie Scott Rose, Co-TTEEs of the Exempt Thomas W Scott Marital Trust No 2, and 205 shares held of record by the estate of Thomas W Scott.
Remarks:
Julie A Scott, By: ** 03/29/2022
Julie A Scott Rose Trustee of the Julie A Scott Rose Trust Dated 5-14-2002, By: ** 03/29/2022
First Interstate Bank & Julie Scott Rose, Co-TTEEs of the Joan D Scott Trust Dtd 10/16/12, By: ** 03/29/2022
IXL Limited Liability Company, By: ** 03/29/2022
Juliana Sarah Scott Rose Trust, By: ** 03/29/2022
Elizabeth Lauren Scott Rose Trust, By: ** 03/29/2022
Thomas W Scott Trust Dtd 8/22/95, Thomas W Scott Trustee, By: ** 03/29/2022
First Interstate Bank & Julie Scott Rose, Co-TTEEs of the Exempt Thomas W Scott Marital Trust No 2, By: ** 03/29/2022
Thomas W Scott, By: ** 03/29/2022
**By: /s/ Timothy Leuthold, Attorney-in-Fact 03/29/2022
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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