SEC Form 4 · accession 0001209191-16-123176
FIRST INTERSTATE BANCSYSTEM INC · FIBK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Charles M Heyneman
Director
Period of report
May 23, 2016
Accepted (ET)
May 25, 2016 · 3:45 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 | — | — | — | 4,949 | D | ||
| Class A Common Stock | holding | — | — | — | 1,044 | I | By Trust | |
| Class A Common Stock | holding | — | — | — | 3,492 | I | By 401(k) Plan |
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 StockF1 | $0.00 | May 23, 2016 | G | 1,006 | D | Mar 5, 2010 | Dec 31, 2029 | Class A Common Stock | 1,006 | 136,232 | I |
| Class B Common StockF1,F3 | $0.00 | May 23, 2016 | G | 424 | A | Mar 5, 2010 | Dec 31, 2029 | Class A Common Stock | 424 | 6,412 | I |
| Class B Common StockF1,F4 | $0.00 | May 23, 2016 | G | 582 | A | Mar 5, 2010 | Dec 31, 2029 | Class A Common Stock | 582 | 6,570 | I |
| Class B Common StockF1 | $0.00 | holding | — | — | — | Mar 5, 2010 | Dec 31, 2029 | Class A Common Stock | 9,000 | 9,000 | I |
Explanation of responses
- F1The 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.
- F2Change 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.
- F3Shares 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.
- F4Shares 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.