SEC Form 4 · accession 0000920112-16-000306
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
Mar 8, 2016
Accepted (ET)
Mar 9, 2016 · 1:07 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 | Mar 8, 2016 | A | 2,274 | $0.00 | A | 126,890 | 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 5,928 shares of Performance Based Restricted Stock.
- F2Includes 8,067 Time Based Restricted Stock Units (RSU). Each RSU represents the right to receive one share of common stock.
- F3Includes 20,000 shares held in street name at LPL Financial.
- F4Reflects the forfeiture of 60 Performance Based Restricted Stock Units granted but not earned in 2015.
- 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.