0000860413-22-000032.txt : 20220203 0000860413-22-000032.hdr.sgml : 20220203 20220203161754 ACCESSION NUMBER: 0000860413-22-000032 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220201 FILED AS OF DATE: 20220203 DATE AS OF CHANGE: 20220203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRANNEN JAMES CENTRAL INDEX KEY: 0001201565 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34653 FILM NUMBER: 22588536 MAIL ADDRESS: STREET 1: 5400 UNIVERSITY AVENUE CITY: WEST DES MOINES STATE: IA ZIP: 50266 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 wf-form4_164392305132206.xml FORM 4 X0306 4 2022-02-01 0 0000860413 FIRST INTERSTATE BANCSYSTEM INC FIBK 0001201565 BRANNEN JAMES 4916 MCDERMOTT LANE PANORA IA 50216 1 0 0 0 Class A Common Stock 2022-02-01 4 A 0 15632 0 A 15632 D Class A Common Stock 2022-02-01 4 A 0 477 38.41 A 16109 D Received in exchange for 18,555 shares of Great Western Bancorp, Inc. ("GWB") common stock in connection with merger of GWB into the issuer (the "Merger"). On the effective date of the Merger, the reporting person was entitled to receive approximately 0.8425 shares of issuer Class A common stock for each share of GWB common stock then owned. EXHIBIT LIST: EX-24 Executed POA, EX-24 Executed POA pg 1, EX-24 Executed POA pg 2 /s/ Kirk D. Jensen, Attorney-in-Fact for Reporting Person 2022-02-03