SEC Form 4 · accession 0001209191-16-120491
FIRST INTERSTATE BANCSYSTEM INC · FIBK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James R Scott
Director · 10% Owner
Period of report
May 13, 2016
Accepted (ET)
May 16, 2016 · 6:19 pm EDT
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 Stock | holding | — | — | — | 17,764 | I | By 401(k) Plan | |
| Class A Common StockF1 | holding | — | — | — | 4,577 | 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 | $0.00 | May 13, 2016 | J | 339 | A | Mar 5, 2010 | Dec 31, 2029 | Class A Common Stock | 339 | 45,590 | I |
| Class B Common StockF2 | $0.00 | May 13, 2016 | J | 339 | A | Mar 5, 2010 | Dec 31, 2029 | Class A Common Stock | 339 | 2,348,083 | I |
Explanation of responses
- F1Includes 1,129 shares of Class A common stock previously held directly by reporting person, which are now held indirectly by trust.
- 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.
- F3On May 13, 2016, a charitable remainder unitrust of which reporting person is a beneficiary, distrubuted to each the reporting person and his spouse 339 shares of FIBK Class B common stock in satisfaction of the trust's obligation to pay $9,159.78 to each the reporting person and his spouse. The reporting person disclaims beneficial ownership of the FIBK stock held by the trust except to the extent of he and his wife's pecuniary interest therein.