SEC Form 4 · accession 0000920112-15-000097
HEARTLAND FINANCIAL USA INC · HTLF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Lynn B Fuller
Officer — Chairman & CEO · Director
Period of report
May 1, 2015
Accepted (ET)
May 6, 2015 · 3:31 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000920112
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | May 1, 2015 | M | 10,000 | $29.65 | A | 0 | I | As Trustee |
| Common StockF1,F2 | May 1, 2015 | S | 10,000 | $33.83 | D | 0 | I | As Trustee |
| Common StockF2 | May 1, 2015 | G | 267,616 | $0.00 | D | 576,420 | I | As Trustee |
| Common Stock | May 1, 2015 | G | 7,100 | $0.00 | D | 5,000 | I | By Spouse |
| Common StockF1,F7 | May 1, 2015 | P | 26,900 | $33.83 | A | 0 | I | Family LLLP |
| Common StockF1,F7 | May 1, 2015 | G | 267,616 | $0.00 | A | 0 | I | Family LLLP |
| Common StockF7 | May 1, 2015 | G | 7,100 | $0.00 | A | 301,616 | I | Family LLLP |
| Common StockF8,F9 | holding | — | — | — | 35,862 | D | ||
| Common StockF10 | holding | — | — | — | 123,078 | I | As Trustee | |
| Common StockF11 | holding | — | — | — | 12,188 | I | HTLF Retirement Plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Non-Qualified Stock Option (Right To Buy)F12 | $29.65 | May 1, 2015 | M | 10,000 | D | — | Jan 16, 2017 | Common Stock | 0 | 0 | D |
Explanation of responses
- F1Multi line entry --- see next line for total
- F10Shares held by the Emma O. Fuller Trust dated 9-3-85 Dubuque Bank & Trust, L.S. Fuller & L.B. Fuller, co-trustees
- F11Represents shares allocated to the reporting person's account under the Heartland Financial USA, Inc. Retirement Plan as a result of the Pension Plan Protectin Act of 2006.
- F12Represents options to buy granted under the Company's Stock Option Plan, a Rule 16(b)(3) plan, which options vest one-third per year beginning on the 3rd anniversary of date of grant.
- F2Shares held by Lynn B. Fuller Trust Under Agreement dated 5-7-96, Lynn B. Fuller Trustee
- F3Represents a sale to two adult sons in which payment is represented by promissory notes.
- F4Represents the transfer by Mr. Fuller's Trust to the LBF Heartland Partnership LLLP.
- F5Represents the transfer by Mr. Fuller's spouse to the LBF Heartland Partnership LLLP.
- F6Represents the transfer by adult sons to LBF Heartland Partnership LLLP.
- F7Shares held by LBF Heartland Partnership LLLP - Lynn B Fuller is the General Partner. Wife and two (2) adult sons are Limited Partners.
- F8Includes 24,475 Restricted Stock Units (RSU). Each RSU represents the right to receive one share of common stock. The grant vests in three equal installments on the third, fourth and fifth anniversaries of the grant date.
- F9Includes 11,387 shares of Performance Based Restricted Stock.