SEC Form 4 · accession 0000920112-16-000378
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
Jul 28, 2016
Accepted (ET)
Aug 2, 2016 · 4:12 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 | Jul 28, 2016 | M | 1,500 | $29.65 | A | 0 | D | |
| Common Stock | Jul 28, 2016 | F | 1,302 | $37.01 | D | 113,093 | D | |
| Common Stock | holding | — | — | — | 10,516 | I | 401(k) | |
| Common Stock | holding | — | — | — | 27,000 | I | By Spouse | |
| Common StockF2 | 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)F3 | $29.65 | Jul 28, 2016 | D | 1,500 | D | — | Jan 16, 2017 | Common Stock | 1,500 | 0 | D |
| Non-Qualified Stock Option (Right To Buy)F3 | $29.65 | holding | — | — | — | — | Jan 16, 2017 | Common Stock | 1,500 | 1,500 | D |
| 2012 Time-Based Restricted StockF4,F5 | — | holding | — | — | — | — | — | Common Stock | 1,063 | 0 | D |
| 2013 Time-Based Restricted StockF4,F6 | — | holding | — | — | — | — | — | Common Stock | 1,500 | 0 | D |
| 2014 Time-Based Restricted StockF4,F7 | — | holding | — | — | — | — | — | Common Stock | 2,025 | 0 | D |
| 2014 Performance Based Restricted StockF4,F8 | — | holding | — | — | — | — | — | Common Stock | 1,664 | 0 | D |
| 2015 Time-Based Restricted StockF4,F9 | — | holding | — | — | — | — | — | Common Stock | 2,050 | 0 | D |
| 2015 Performance Based Restricted StockF4,F10 | — | holding | — | — | — | — | — | Common Stock | 1,990 | 0 | D |
| 2016 Time-Based Restricted StockF4,F11 | — | holding | — | — | — | — | — | Common Stock | 1,429 | 0 | D |
| 2016 Performance Based Restricted Stock (1-year performance)F4,F12 | — | holding | — | — | — | — | — | Common Stock | 1,516 | 0 | D |
| 2016 Performance Based Restricted Stock (3-year performance)F4,F13 | — | holding | — | — | — | — | — | Common Stock | 758 | 0 | D |
Explanation of responses
- F1Multi line entry --- see next line for total
- F10These restricted stock units vest on 1-18-2018 if certain performance measures are achieved by the Issuer.
- F11Of these restricted stock units, 1/3 vest on 1-19-2017, 1/3 vest on 1-19-2018, and 1/3 vest on 1-19-2019.
- F12These restricted stock units vest on 1-19-2019 if certain performance measures are achieved by the Issuer.
- F13These restricted stock units vest in 2019 if certain performance measures are achieved by the Issuer.
- F2Represents 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.
- F3Represents 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.
- F4Each restricted stock unit represents a contingent right to receive one share of Issuer's common stock.
- F5Of these restricted stock units, 1/3 vest on 1-17-2015, 1/3 vest on 1-17-2016, and 1/3 vest on 1-17-2017.
- F6Of these restricted stock units, 1/3 vest on 1-22-2016, 1/3 vest on 1-22-2017, and 1/3 vest on 1-22-2018.
- F7Of these restricted stock units, 1/3 vest on 3-11-2017, 1/3 vest on 3-11-2018, and 1/3 vest on 3-11-2019.
- F8These restricted stock units vest on 1-18-2017 if certain performance measures are achieved by the Issuer.
- F9Of these restricted stock units, 1/3 vest on 1-20-2018, 1/3 vest on 1-20-2019, and 1/3 vest on 1-20-2020.