0000860413-23-000156.txt : 20230605
0000860413-23-000156.hdr.sgml : 20230605
20230605170153
ACCESSION NUMBER: 0000860413-23-000156
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230601
FILED AS OF DATE: 20230605
DATE AS OF CHANGE: 20230605
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: 23993550
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 Jonathan R
CENTRAL INDEX KEY: 0001361935
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34653
FILM NUMBER: 23993553
MAIL ADDRESS:
STREET 1: P.O. BOX 30918
CITY: BILLINGS
STATE: MT
ZIP: 59116
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: 23993549
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: 23993551
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
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: 23993548
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: Jonathan Scott as Trustee of the Jonathan R Scott Trust Dated as of 4/21/04
CENTRAL INDEX KEY: 0001908962
STATE OF INCORPORATION: WY
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34653
FILM NUMBER: 23993552
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
wf-form4_168599889941536.xml
FORM 4
X0407
4
2023-06-01
0
0000860413
FIRST INTERSTATE BANCSYSTEM INC
FIBK
0001361935
Scott Jonathan R
PO BOX 7113
BILLINGS
MT
59103
1
0
1
0
0001908962
Jonathan Scott as Trustee of the Jonathan R Scott Trust Dated as of 4/21/04
P.O. BOX 7113
BILLINGS
MT
59103
0
0
1
0
0001909090
IXL Ltd Liability Co
P.O. BOX 7113
BILLINGS
MT
59103
0
0
1
0
0001908895
Harper Grace Scott Trust
P.O. BOX 7113
BILLINGS
MT
59103
0
0
1
0
0001908873
Harrison William Scott Trust
P.O. BOX 7113
BILLINGS
MT
59103
0
0
1
0
0001908953
Holland Elizabeth Scott Trust
P.O. BOX 7113
BILLINGS
MT
59103
0
0
1
0
0
Class A Common Stock
2023-06-01
4
A
0
4534
0
A
10535
D
Class A Common Stock
954670
I
See Footnote
Shares issuable upon vesting of restricted stock units granted to the reporting person pursuant to the Registrant's 2023 Equity and Incentive Plan. The restricted stock units vest on June 1, 2024, subject to the reporting persons provision of continuous service to the Registrant through the vesting date.
Composed of 519,381 shares held of record by Jonathan Scott as Trustee of the Jonathan R Scott Trust Dated as of 4/21/04, 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, 58,537 shares held of record by Harrison William Scott Trust and 50,000 shares held of record by Jonathan Scott's spouse.
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 Jonathan R. Scott with the indication of direct or indirect ownership in Table I and Table II being made from Jonathan R. Scott's perspective. The nature of beneficial ownership is described in detail by footnote for all reporting persons.
JONATHAN R. SCOTT, By: /s/ Kirk D. Jensen, Attorney-in-Fact for Reporting Person.
2023-06-05
HARRISON WILLIAM SCOTT TRUST, By: +
2023-06-05
HARPER GRACE SCOTT TRUST, By: +
2023-06-05
HOLLAND ELIZABETH SCOTT TRUST, By: +
2023-06-05
JONATHAN SCOTT AS TRUSTEE OF THE JONATHAN R SCOTT TRUST DATED AS OF 4/21/04, By: +
2023-06-05
IXL Limited Liability Company, By:+
2023-06-05
+/s/ Timothy Leuthold, Attorney-in-Fact for Reporting Person
2023-06-05