SEC Form 4 · accession 0001209191-17-048479
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
Aug 10, 2017
Accepted (ET)
Aug 10, 2017 · 7:02 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000860413
Table I — non-derivative securities
No Table I lines on this filing.
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 | Aug 10, 2017 | G | 518 | D | Mar 5, 2010 | Dec 31, 2029 | Class A Common Stock | 518 | 3,560 | I |
| Class B Common StockF1 | $0.00 | Aug 10, 2017 | G | 259 | A | — | — | Class A Common Stock | 259 | 46,114 | I |
| Class B Common StockF1 | $0.00 | Aug 10, 2017 | G | 259 | A | — | — | Class A Common Stock | 259 | 2,329,372 | 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 August 10, 2017, a charitable remainder unitrust of which reporting person is a beneficiary, distrubuted to each the reporting person and his spouse 259 shares of Issuer Class B common stock in satisfaction of the trust's obligation to pay $9,298.10 to each the reporting person and his spouse. The reporting person disclaims beneficial ownership of the Issuer stock held by such trust except to the extent of he and his wife's pecuniary interest therein.