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*
Grieb Frances Pallas

(Last) (First) (Middle)
5531 S 208TH CIRCLE

(Street)
ELKHORN NE 68022

(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)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
02/01/2022
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
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 02/01/2022 A 16,592 A (1) 16,592(2) D
Class A Common Stock 02/01/2022 A 4,212 A (3) 4,212 I Trust
Class A Common Stock 02/01/2022 A 867 A $38.41 17,459 D
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
Explanation of Responses:
1. Received in exchange for 19,694 shares of Great Western Bancorp, Inc. ("GWB") common stock in connection with the 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 or deferred.
2. Pursuant to the reporting person's election to participate in a deferred compensation arrangement with GWB that was respected by the issuer in connection with the Merger, the delivery of 4,728 of these shares has been deferred over a period of four years, with one-fourth of such shares to be delivered on each of the next four annual anniversaries of the closing date of the Merger.
3. Received in exchange for 5,000 shares of GWB common stock in connection with 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.
Remarks:
EXHIBIT LIST: EX-24 Grieb Executed POA, GRAPHIC Executed POA, GRAPHIC Executed POA
/s/ Kirk D. Jensen, Attorney-in-Fact for Reporting Person 02/03/2022
** 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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