SEC Form 4 · accession 0001209191-16-151997
FIRST INTERSTATE BANCSYSTEM INC · FIBK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas W Scott
10% Owner
Period of report
Nov 22, 2016
Accepted (ET)
Nov 23, 2016 · 6:23 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 22, 2016 | G | 27,800 | $0.00 | D | 5,500 | 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 | Nov 22, 2016 | G | 20,325 | D | Mar 5, 2010 | Dec 31, 2029 | Class A Common Stock | 20,325 | 2,334,778 | I |
| Class B Common StockF2 | $0.00 | holding | — | — | — | Mar 5, 2010 | Dec 31, 2029 | Class A Common Stock | 222,528 | 222,528 | I |
Explanation of responses
- F1Includes 6,485 shares that changed 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.