SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
SCOTT JAMES R

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

(Street)
BILLINGS MT 59103

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/01/2022
3. Issuer Name and Ticker or Trading Symbol
FIRST INTERSTATE BANCSYSTEM INC [ FIBK ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Class A Common Stock 82,492(1) I See footnote(2)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Class B Common Stock (3) (3) Class A Common Stock 4,311,477 $0.00 I See footnote(4)
1. Name and Address of Reporting Person*
SCOTT JAMES R

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

(Street)
BILLINGS MT 59103

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
X Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
James R Scott Trust, James R Scott & First Interstate Wealth Management Co-TTEEs

(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*
James R & Christine M Scott Foundation

(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*
JS Investments Limited Partnership

(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*
Foundation for Community Vitality

(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*
James F Heyneman Conservatorship, James Scott, Conservator

(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*
James F Heyneman Trust, James Scott & First Interstate Wealth Management Co-Trustees

(Last) (First) (Middle)
PO BOX 30918

(Street)
BILLINGS MT 59116

(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. 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, if any, together with James R. Scott.
2. Composed of 35,723 shares held of record by James R Scott Trust, James R Scott & First Interstate Wealth Management Co-TTEEs, 28,839 shares held of record by James R Scott, and 17,930 shares held of record by Foundation for Community Vitality.
3. 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.
4. Composed of 1,972,462 shares held of record by James R Scott Trust, James R Scott & First Interstate Wealth Management Co-TTEEs, 35,240 shares held of record by James R and Christine M Scott Foundation, 1,901,036 shares held of record by JS Investments Limited Partnership, 322,641 shares held of record by Foundation for Community Vitality, 73,002 shares held of record by James F Heyneman Conservatorship, James Scott, Conservator, and 7,096 shares held of record by James F Heyneman Trust, James Scott & First Interstate Wealth Management Co-Trustees.
Remarks:
Exhibit 24 - Power of Attorney
JAMES R. SCOTT, By: /s/ Timothy Leuthold, Attorney-in-Fact for Reporting Person 02/10/2022
JAMES R SCOTT TRUST, JAMES R SCOTT & FIRST INTERSTATE WEALTH MANAGEMENT CO-TTEES, By: /s/ Timothy Leuthold, Attorney-in-Fact for Reporting Person 02/10/2022
JAMES R AND CHRISTINE M SCOTT FOUNDATION, By: /s/ Timothy Leuthold, Attorney-in-Fact for Reporting Person 02/10/2022
JS INVESTMENTS LIMITED PARTNERSHIP, By: /s/ Timothy Leuthold, Attorney-in-Fact for Reporting Person 02/10/2022
FOUNDATION FOR COMMUNITY VITALITY, By: /s/ Timothy Leuthold, Attorney-in-Fact for Reporting Person 02/10/2022
JAMES F HEYNEMAN CONSERVATORSHIP, JAMES SCOTT, CONSERVATOR, By: /s/ Timothy Leuthold, Attorney-in-Fact for Reporting Person 02/10/2022
JAMES F HEYNEMAN TRUST, JAMES SCOTT & FIRST INTERSTATE WEALTH MANAGEMENT CO-TRUSTEES, By: /s/ Timothy Leuthold, Attorney-in-Fact for Reporting Person 02/10/2022
** 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 5 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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