-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, PRwy6aq9tLbgb4IjSrwCyS9nkTg9aTBK/SwM1+EPTX0vyKSm4778HNorbCujPggC nwxILUOrLDwU7H6R66DxPw== 0000950134-03-005454.txt : 20030407 0000950134-03-005454.hdr.sgml : 20030407 20030407112400 ACCESSION NUMBER: 0000950134-03-005454 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030326 FILED AS OF DATE: 20030407 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: COOK KEITH D CENTRAL INDEX KEY: 0001226096 RELATIONSHIP: OFFICER FILING VALUES: FORM TYPE: 3 MAIL ADDRESS: STREET 1: C/O FIRST INTERSTATE BANCSYSTEM INC STREET 2: PO BOX 30918 CITY: BILLINGS STATE: MT ZIP: 59116 SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-49733 FILM NUMBER: 03640939 BUSINESS ADDRESS: STREET 1: P O BOX 30918 STREET 2: 401 NO 31ST STREET CITY: BILLINGS STATE: MT ZIP: 59116-0918 BUSINESS PHONE: 4062555300 FORMER COMPANY: FORMER CONFORMED NAME: FIRST INTERSTATE BANCSYSTEM OF MONTANA INC DATE OF NAME CHANGE: 19930615 3 1 c75986de3.htm FORM 3 e3
 

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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 3

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935 or
Section 30(h) of the Investment Company Act of 1940


1. Name and Address of Reporting
Person*
(Last, First, Middle)
2. Date of Event Requiring Statement
(Month/Day/Year)
3. I.R.S. Identification Number of Reporting
Person, if an entity
(voluntary)
  Cook, Keith D.
  March 26, 2003
 
  1813 Oak Ridge Lane

(Street)
4. Issuer Name and Ticker or Trading Symbol 5. Relationship of Reporting Person(s) to Issuer
(Check All Applicable)
    First Interstate BancSystem, Inc. (no ticker or trading symbol)
  o  Director
o  10% Owner
x  Officer (give title below)
o  Other (specify below)
  Billings, MT 59102
(City)         (State)        (Zip)
6. If Amendment, Date of Original
(Month/Day/Year)
  Regional President, Bank Subsidiary
   
7. Individual or Joint/Group Filing
(Check Applicable Line)
                x  Form filed by One Reporting Person
o  Form filed by More than One Reporting Person

*   If the form is filed by more than one reporting person, see Instruction 5(b)(v).
 
Reminder:   Report on a separate line for each class of securities beneficially owned directly or indirectly.

 


 


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)

  Common Stock     4,508     D   By Self

  Common Stock     5,124     I   By 401(K) Plan

           

           

           

           

           

Page 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 of
Derivative Security:
Direct (D) or Indirect (I)

(Instr. 5)
6. Nature of Indirect Beneficial Ownership
(Instr. 5)

      Date
Exer-
cisable
Expi-
ration
Date
 
Title
Amount
or
Number
of Shares
           

  Stock Option   2-19-02 11-30-03   Common Stock 660 $42.00   D   N/A

  Stock Option   2-19-02 5-31-04   Common Stock 1,155 $42.00   D   N/A

  Stock Option   2-19-02 3-15-05   Common Stock 1,760 $42.00   D   N/A

  Stock Option   2-19-02 3-15-06   Common Stock 1,760 $42.00   D   N/A

  Stock Option   2-19-02 3-15-07   Common Stock 1,760 $42.00   D   N/A

  Stock Option   2-19-02 3-15-08   Common Stock 1,760 $42.00   D   N/A

  Stock Option   2-19-02 3-15-09   Common Stock 1,210 $42.00   D   N/A

  Stock Option   2-19-02 3-15-10   Common Stock 1,760 $42.00   D   N/A

  Stock Option   2-19-02 3-15-11   Common Stock 1,760 $42.00   D   N/A

  Stock Option (1)   1-31-02 1-31-12   Common Stock 1,600 $42.00   D   N/A

  Stock Option (1)   1-29-03 1-28-13   Common Stock 1,600 $45.00   D   N/A

                         

                         

                         

Explanation of Responses:

(1) Options vest over three years: 25% on date of grant and 25% each year for three years

/s/ Keith D. Cook   March 26, 2003

**Signature of Reporting Person
 
Date


 
**   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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