SEC Form 4 · accession 0000920112-16-000253
HEARTLAND FINANCIAL USA INC · HTLF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Douglas J Horstmann
Officer — EVP, Lending
Period of report
Jan 19, 2016
Accepted (ET)
Jan 21, 2016 · 7:07 pm EST
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,F3,F4 | Jan 19, 2016 | A | 1,429 | $0.00 | A | 126,172 | D | |
| Common Stock | holding | — | — | — | 10,516 | I | 401(k) | |
| Common Stock | holding | — | — | — | 27,000 | I | By Spouse | |
| Common StockF5 | holding | — | — | — | 5,204 | 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)F6 | $29.65 | holding | — | — | — | — | Jan 16, 2017 | Common Stock | 1,500 | 1,500 | D |
Explanation of responses
- F1Includes 3,714 shares of Performance Based Restricted Stock.
- F2Includes 8,067 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.
- F3Includes 35 shares received as an Employee Service Award.
- F4Includes 20,000 shares held in street name at LPL Financial.
- F5Represents 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.
- F6Represents 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.