0000899243-22-012687.txt : 20220329
0000899243-22-012687.hdr.sgml : 20220329
20220329171418
ACCESSION NUMBER: 0000899243-22-012687
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220325
FILED AS OF DATE: 20220329
DATE AS OF CHANGE: 20220329
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Scott Risa Kae
CENTRAL INDEX KEY: 0001798829
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34653
FILM NUMBER: 22781989
MAIL ADDRESS:
STREET 1: P.O. BOX 30918
CITY: BILLINGS
STATE: MT
ZIP: 59101
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Risa K. Scott & John Heyneman Jr., TTEEs FBO Risa K Scott Exemption Trust Under the Scott Family 1996 Trust
CENTRAL INDEX KEY: 0001908770
STATE OF INCORPORATION: WY
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34653
FILM NUMBER: 22781987
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: Risa K Scott TTEE Risa K Scott Trust Dtd 12/4/15
CENTRAL INDEX KEY: 0001908674
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34653
FILM NUMBER: 22781988
BUSINESS ADDRESS:
STREET 1: 18352 CERRO VILLA DR.
CITY: VILLA PARK
STATE: CA
ZIP: 92861
BUSINESS PHONE: 714-293-8165
MAIL ADDRESS:
STREET 1: 18352 CERRO VILLA DR.
CITY: VILLA PARK
STATE: CA
ZIP: 92861
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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-03-25
0
0000860413
FIRST INTERSTATE BANCSYSTEM INC
FIBK
0001798829
Scott Risa Kae
PO BOX 7113
BILLINGS
MT
59103
0
0
1
0
0001908674
Risa K Scott TTEE Risa K Scott Trust Dtd 12/4/15
PO BOX 7113
BILLINGS
MT
59103
0
0
1
0
0001908770
Risa K. Scott & John Heyneman Jr., TTEEs FBO Risa K Scott Exemption Trust Under the Scott Family 1996 Trust
PO BOX 7113
BILLINGS
MT
59103
0
0
1
0
Class A Common Stock
2022-03-25
4
C
0
486507
A
486592
I
see footnote
Class B Common Stock
0.00
2022-03-25
4
C
0
486507
0.00
D
Class A Common Stock
486507
0
I
see footnote
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..
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 Risa K. Scott.
Composed of 400,756 shares held of record by Risa K Scott TTEE Risa K Scott Trust Dtd 12/4/15, and 85,836 shares held of record by Risa K. Scott & John Heyneman Jr., TTEEs FBO Risa K Scott Exemption Trust Under the Scott Family 1996 Trust.
Risa K. Scott, By: **
2022-03-29
Risa K Scott TTEE Risa K Scott Trust Dtd 12/4/15, By: **
2022-03-29
Risa K. Scott & John Heyneman Jr., TTEEs FBO Risa K Scott Exemption Trust Under the Scott Family 1996 Trust, By: **
2022-03-29
**By: /s/ Timothy Leuthold, Attorney-in-Fact
2022-03-29