SEC Form 4/A · accession 0001209191-15-082527
FIRST INTERSTATE BANCSYSTEM INC · FIBK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Randall I Scott
Director · 10% Owner
Period of report
Nov 19, 2015
Accepted (ET)
Nov 30, 2015 · 7:42 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000860413
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF1 | Nov 19, 2015 | C | 3,600 | $0.00 | A | 3,600 | I | By Spouse |
| Class A Common StockF1 | Nov 19, 2015 | G | 3,350 | $0.00 | D | 250 | I | By Spouse |
| Class A Common Stock | holding | — | — | — | 1,649 | D | ||
| Class A Common Stock | holding | — | — | — | 9,648 | I | By 401(k) Plan | |
| Class A Common Stock | holding | — | — | — | 2,643 | I | By Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Class B Common StockF2,F1 | $0.00 | Nov 19, 2015 | C | 3,600 | D | Mar 5, 2010 | Dec 31, 2029 | Class A Common Stock | 3,600 | 76,765 | I |
| Class B Common StockF2 | $0.00 | holding | — | — | — | Mar 5, 2010 | Dec 31, 2029 | Class A Common Stock | 174,954 | 174,954 | I |
| Class B Common StockF2 | $0.00 | holding | — | — | — | Mar 5, 2010 | Dec 31, 2029 | Class A Common Stock | 3,795,676 | 3,795,676 | I |
| Class B Common StockF2 | $0.00 | holding | — | — | — | Mar 5, 2010 | Dec 31, 2029 | Class A Common Stock | 85,836 | 85,836 | I |
| Class B Common StockF2 | $0.00 | holding | — | — | — | Mar 5, 2010 | Dec 31, 2029 | Class A Common Stock | 803,310 | 803,310 | I |
Explanation of responses
- F1On November 19, 2016, Mr. Scott incorrectly reported the number of shares of Class B common stock transferred by gift as 3,600 Class B common shares. This amendment of the November 19, 2016 Form 4 is being filed to correct the number of shares transferred in the gift transaction to 3,350 Class B common shares and report the remaining 250 shares converted from Class B common shares to Class A common shares in Table 1 of the amended Form 4.
- F2The 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.