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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 1)*
FIRST INTERSTATE BANCSYSTEM, INC.
Common Stock
N/A
December 31, 2003
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
o Rule 13d-1 (b)
o Rule 13d-1 (c)
x Rule 13d-1 (d)
*The remainder of this cover page shall be filled out for a reporting persons initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be deemed to be filed for the purpose of Section 18 of the Securities Exchange Act of 1934 or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the notes).
13G | ||||||
CUSIP No. Not Applicable | ||||||
1. | Name of Reporting Person: Thomas W. Scott |
I.R.S. Identification Nos. of above persons (entities only): |
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2. | Check the Appropriate Box if a Member of a Group: | |||||
(a) | o | |||||
(b) | o | |||||
3. | SEC Use Only: | |||||
4. | Citizenship or Place of Organization: Montana, USA |
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Number of Shares Beneficially Owned by Each Reporting Person With | ||||||
5. | Sole Voting Power: 968,173 | |||||
6. | Shared Voting Power: 5,464 | |||||
7. | Sole Dispositive Power: 742,649 | |||||
8. | Shared Dispositive Power: 230,988 | |||||
9. | Aggregate Amount Beneficially Owned by Each Reporting Person: 973,637 |
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10. | Check if the Aggregate Amount in Row (9) Excludes Certain Shares: o |
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11. | Percent of Class Represented by Amount in Row (9): 12.2% | |||||
12. | Type of Reporting Person: IN | |||||
CUSIP No. Not Applicable.
Item 1.
(a) | Name of Issuer: | |||
First Interstate BancSystem, Inc. | ||||
(b) | Address of Issuers Principal Executive Office: | |||
401 North 31st Street | ||||
Billings, Montana 59116 |
Item 2.
(a) | Name of Person Filing: | |||
Thomas W. Scott | ||||
(b) | Address of Principal Business Office or, if none, Residence: | |||
P.O. Box 30918 | ||||
Billings, Montana 59116 | ||||
(c) | Citizenship: | |||
Montana, USA | ||||
(d) | Title of Class of Securities: | |||
Common Stock | ||||
(e) | CUSIP Number: | |||
Not Applicable |
Item 3. If this statement if filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:
Not Applicable. |
Item 4. Ownership.
Thomas W. Scott beneficially owns 973,637 shares, or 12.2%, of issuers common stock. | ||||
In his individual capacity, Mr. Scott has sole voting and dispositive power for 742,6498 shares, which includes 39,675 stock options and 702,974 shares held individually. |
Mr. Scott holds sole voting and shared dispositive power for 225,524 shares held as co-trustee. | ||||
In addition, Mr. Scotts beneficial ownership includes 5,464 shares for which he has shared voting and dispositive power. These shares owned through Mr. Scotts 401 (k) plan account pursuant to the Savings and Profit Sharing Plan of First Interstate BancSystem, Inc. |
Item 5. Ownership of Five Percent or Less of a Class
Not Applicable. |
Item 6. Ownership of More than Five Percent of Behalf of Another Person.
Not Applicable. |
Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company.
Not Applicable. |
Item 8. Identification and Classification of Members of the Group.
Not Applicable. |
Item 9. Notice of Dissolution of Group.
Not Applicable. |
Item 10. Certification.
Not Applicable. |
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
February 10, 2004 | ||
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Date | ||
/s/ THOMAS W. SCOTT | ||
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Signature | ||
Thomas W. Scott, Chairman | ||
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Name/Title |
The original statement shall be signed by each person on whose behalf the statement is filed or his authorized representative. If the statement is signed on behalf of a person by his authorized representative other than an executive officer or general partner of the filing person, evidence of the representatives authority to sign on behalf of such person shall be filed with the statement, provided, however, that a power of attorney for this purpose which is already on file with the Commission may be incorporated by reference. The name and any title of each person who signs the statement shall be typed or printed beneath his signature.
NOTE: Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See §240.13d-7 for other parties for whom copies are to be sent.
Attention: Intentional misstatements or omissions of fact constitute federal criminal violations (see 18 U.S.C. 1001).