SEC Form 4 · accession 0001209191-16-151996

FIRST INTERSTATE BANCSYSTEM INC · FIBK

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director · 10% Owner

Period of report

Nov 22, 2016

Accepted (ET)

Nov 23, 2016 · 6:16 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 Stock	Nov 22, 2016	J	3,832	$0.00	D	0	D
Class A Common Stock	Nov 22, 2016	J	3,832	$0.00	A	8,409	I	By Trust
Class A Common Stock	holding	—	—		—	17,764	I	By 401(k) Plan

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Class B Common Stock^F2	$0.00	Nov 22, 2016	J	252	A	Mar 5, 2010	Dec 31, 2029	Class A Common Stock	252	46,159	I
Class B Common Stock^F2	$0.00	Nov 22, 2016	J	252	A	Mar 5, 2010	Dec 31, 2029	Class A Common Stock	252	2,348,652	I

F1Change in form of beneficial ownership from direct ownership to indirect ownership 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 November 22, 2016, a charitable remainder unitrust of which the reporting person is a beneficiary, distributed to each the reporting person and his spouse 252 shares of FIBK Class B common stock in satisfaction of the trust's obligation to pay $9,223.20 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.