SEC Form 4 · accession 0001209191-17-008069
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
Feb 6, 2017
Accepted (ET)
Feb 6, 2017 · 5:15 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 | holding | — | — | — | 8,409 | I | By Trust | |
| Class A Common Stock | holding | — | — | — | 17,764 | 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 | Feb 6, 2017 | J | 233 | A | Mar 5, 2010 | Dec 31, 2029 | Class A Common Stock | 233 | 45,606 | I |
| Class B Common StockF1 | $0.00 | Feb 6, 2017 | J | 233 | A | Mar 5, 2010 | Dec 31, 2029 | Class A Common Stock | 233 | 2,328,864 | 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 discretion of the holder. The conversion feature of the Class B Common Stock does not expire.
- F2On February 6, 2017, a charitable remainder unitrust of which the reporting person is a beneficiary, distributed to each the reporting person and his spouse 233 shares of FIBK Class B common stock in satisfaction of the trust's obligation to pay $9,657.85 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.