0001209191-17-029458.txt : 20170502 0001209191-17-029458.hdr.sgml : 20170502 20170502195911 ACCESSION NUMBER: 0001209191-17-029458 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170428 FILED AS OF DATE: 20170502 DATE AS OF CHANGE: 20170502 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: EBZERY WILLIAM B CENTRAL INDEX KEY: 0001198514 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34653 FILM NUMBER: 17806858 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 2017-04-28 0 0000860413 FIRST INTERSTATE BANCSYSTEM INC FIBK 0001198514 EBZERY WILLIAM B 2 NORTH MAIN, SUITE 301 SHERIDAN WY 82801 1 0 0 0 Class A Common Stock 2017-04-28 4 C 0 5916 0.00 A 5916 D Class A Common Stock 111661 I By Trust Class A Common Stock 1500 I As Custodian under UGMA Class A Common Stock 1500 I As Custodian under UGMA Class A Common Stock 340 I As Custodian under UGMA Class A Common Stock 29000 I By Limited Partnership Stock Options (Right to Buy) 22.25 2017-04-28 4 M 0 5916 0.00 D 2007-05-04 2017-05-04 Class B Common Stock 5916 0 D Class B Common Stock 0.00 2017-04-28 4 M 0 5916 22.25 A Class A Common Stock 5916 5916 D Class B Common Stock 0.00 2017-04-28 4 C 0 5916 0.00 D Class A Common Stock 5916 0 D 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, and the reporting person elected to convert the shares upon receipt. /s/ Kirk D. Jensen, Attorney-in-Fact for Reporting Person 2017-05-02