0001209191-13-038526.txt : 20130731
0001209191-13-038526.hdr.sgml : 20130731
20130731165603
ACCESSION NUMBER: 0001209191-13-038526
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20130730
FILED AS OF DATE: 20130731
DATE AS OF CHANGE: 20130731
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: SCOTT RANDALL I
CENTRAL INDEX KEY: 0001198534
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34653
FILM NUMBER: 13999702
MAIL ADDRESS:
STREET 1: C/O FIRST INTERSTATE BANCSYSTEM INC
STREET 2: P O BOX 30918
CITY: BILLINGS
STATE: MT
ZIP: 59116
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2013-07-30
0
0000860413
FIRST INTERSTATE BANCSYSTEM INC
FIBK
0001198534
SCOTT RANDALL I
PO BOX 30918
BILLINGS
MT
59116-0918
1
0
1
0
Class A Common Stock
9648
I
By 401(k) Plan
Class A Common Stock
1599
D
Class A Common Stock
1044
I
By Trust
Class B Common Stock
0.00
2013-07-30
4
W
0
150500
23.93
D
2010-03-05
2029-12-31
Class A Common Stock
150500
111430
I
By Trust
Class B Common Stock
0.00
2010-03-05
2029-12-31
Class A Common Stock
1616
1616
D
Class B Common Stock
0.00
2010-03-05
2029-12-31
Class A Common Stock
166356
166356
I
By Trust
Class B Common Stock
0.00
2010-03-05
2029-12-31
Class A Common Stock
82104
82104
I
By Spouse
Class B Common Stock
0.00
2010-03-05
2029-12-31
Class A Common Stock
3795676
3795676
I
As Managing General Partner of NBar5 Limited Partnership
Class B Common Stock
0.00
2010-03-05
2029-12-31
Class A Common Stock
85836
85836
I
By Self as Co-Trustee
Class B Common Stock
0.00
2010-03-05
2029-12-31
Class A Common Stock
803310
803310
I
By Partnership
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, a four-for-one split of 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 descretion of the holder. The conversion feature of the Class B common stock does not expire.
Class B common shares for which Mr. Scott has sole voting but no dispositive powers. Mr. Scott disclaims beneficial ownership of these shares except to the extent of his pecuniary interest in such shares.
/s/ CAROL DONALDSON, Attorney-in-Fact for Reporting Person
2013-07-30
EX-24.4_482914
2
poa.txt
POA DOCUMENT
LIMITED POWER OF ATTORNEY FOR
SECTION 16 REPORTING OBLIGATIONS
The undersigned hereby makes, constitutes and appoints each of Ed Garding and
Carol Donaldson, each acting individually, as the undersigned's true and lawful
attorney-in-fact, with full power and authority as hereinafter described on
behalf of and in the name, place and stead of the undersigned to:
(1) prepare, execute, acknowledge, deliver and file Forms 3, 4 and 5 (including
any amendments thereto) with respect to the securities of First Interstate
BancSystem, Inc., a Montana corporation (the "Company"), with the United States
Securities and Exchange Commission, any national securities exchanges and the
Company, as considered necessary or advisable under Section 16(a) of the
Securities Exchange Act of 1934 and the rules and regulations promulgated
thereunder, as amended from time to time (the "Exchange Act");
(2) seek or obtain, as the undersigned's representative and on the undersigned's
behalf, information on transactions in the Company's securities from any third
party, including brokers, employee benefit plan administrators and trustees, and
the undersigned hereby authorizes any such person to release any such
information to the undersigned and approves and ratifies any such release of
information; and
(3) perform any and all other acts which in the discretion of such
attorney-in-fact are necessary or desirable for and on behalf of the undersigned
in connection with the foregoing.
The undersigned acknowledges that:
(1) this Power of Attorney authorizes, but does not require, each such
attorney-in-fact to act in their discretion on information provided to such
attorney-in-fact without independent verification of such information;
(2) any documents prepared and/or executed by either such attorney-in-fact on
behalf of the undersigned pursuant to this Power of Attorney will be in such
form and will contain such information and disclosure as such attorney-in-fact,
in his or her discretion, deems necessary or desirable;
(3) neither the Company nor either of such attorneys-in-fact assumes (i) any
liability for the undersigned's responsibility to comply with the requirements
of the Exchange Act, (ii) any liability of the undersigned for any failure to
comply with such requirements, or (iii) any obligation or liability of the
undersigned for profit disgorgement under Section 16(b) of the Exchange Act; and
(4) this Power of Attorney does not relieve the undersigned from responsibility
for compliance with the undersigned's obligations under the Exchange Act,
including without limitation the reporting requirements under Section 16 of the
Exchange Act.
The undersigned hereby gives and grants each of the foregoing attorneys-in-fact
full power and authority to do and perform all and every act and thing
whatsoever requisite, necessary or appropriate to be done in and about the
foregoing matters as fully to all intents and purposes as the undersigned might
or could do if present, hereby ratifying all that each such attorney-in-fact of,
for and on behalf of the undersigned, shall lawfully do or cause to be done by
virtue of this Limited Power of Attorney.
This Power of Attorney shall remain in full force and effect until revoked by
the undersigned in a signed writing delivered to each such attorney-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 22nd day of May, 2013.
/s/ RANDALL I. SCOTT
Signature
Randall I. Scott
Print Name
STATE OF MONTANA )
)
COUNTY OF YELLOWSTONE )
On this 22nd day of May, 2013, before me, the undersigned, a Notary Public for
the State of Montana, personally appeared and acknowledged that he executed the
within instrument.
IN WITNESS WHEREOF, I have hereunto set my hand and Official Seal the day and
year first above written.
(SEAL) /s/ AMY ANDERSON
Print Name: Amy Anderson
Notary Public for the State of Montana
Residing at: Billings, Montana
My Commission Expires: 12/15/2013