0001209191-12-053232.txt : 20121115 0001209191-12-053232.hdr.sgml : 20121115 20121115155803 ACCESSION NUMBER: 0001209191-12-053232 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121113 FILED AS OF DATE: 20121115 DATE AS OF CHANGE: 20121115 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 FORMER COMPANY: FORMER CONFORMED NAME: FIRST INTERSTATE BANCSYSTEM OF MONTANA INC DATE OF NAME CHANGE: 19930615 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Heyneman Charles M CENTRAL INDEX KEY: 0001289724 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34653 FILM NUMBER: 121208683 MAIL ADDRESS: STREET 1: PO BOX 30918 CITY: BILLINGS STATE: MT ZIP: 59101 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2012-11-13 0 0000860413 FIRST INTERSTATE BANCSYSTEM INC FIBK 0001289724 Heyneman Charles M 3238 DURLAND DRIVE BILLINGS MT 59102 1 0 0 0 Class A Common Stock 3492 I By 401(k) Plan Class A Common Stock 16523 D Class B Common Stock 0.00 2012-11-13 5 G 0 E 1780 0.00 D 2010-03-05 2029-12-31 Class A Common Stock 1780 137238 I By Trust Class B Common Stock 0.00 2012-11-13 5 G 0 E 890 0.00 A 2010-03-05 2029-12-31 Class A Common Stock 890 5988 I By Trust Class B Common Stock 0.00 2012-11-13 5 G 0 E 890 0.00 A 2010-03-05 2029-12-31 Class A Common Stock 890 5988 I By Trust On March 5, 2010, the Company recapitalized its existing common stock. The recapitalization included, among other things, a redesignation of existing common stock as Class B common stock and the creation of a new class of common stock designated as Class A common stock, which is listed on the NASDAQ stock market under the symbol "FIBK". The Class B common stock is convertible at any time into Class A common stock on a share for share basis at the discretion of the holder. The conversion feature of the Class B common stock does not expire. Change in form of indirect beneficial ownership from indirect ownership by self as trustee to indirect ownership by self as co-trustee for child's trust. Shares are owned by a trust for one of Mr. Heyneman's children, for which Mr. Heyneman is a co-trustee and is deemed to be the beneficial owner for purposes of Section 16. Shares are owned by a trust for one of Mr. Heyneman's children, for which Mr. Heyneman is a co-trustee and is deemed to be the beneficial owner for purposes of Section 16. /s/ TERRILL R. MOORE, Attorney-in-Fact for Reporting Person 2012-11-15