SEC Form 4 · accession 0000920112-16-000450
HEARTLAND FINANCIAL USA INC · HTLF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Janet M Quick
Officer — EVP, Principal Acctg Officer
Period of report
Nov 22, 2016
Accepted (ET)
Nov 22, 2016 · 4:30 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 | Nov 22, 2016 | M | 1,500 | $0.00 | A | 7,778 | D | |
| Common Stock | Nov 22, 2016 | F | 302 | $42.50 | A | 8,080 | D | |
| Common Stock | holding | — | — | — | 7,778 | D | ||
| Common StockF2 | holding | — | — | — | 421 | I | IRA | |
| Common Stock | holding | — | — | — | 265 | I | Pension Plan | |
| Common StockF2 | holding | — | — | — | 654 | I | 401 (k) |
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)F11 | $29.65 | Nov 22, 2016 | M | 1,500 | A | — | Jan 16, 2017 | Common Stock | — | — | D |
| 2012 Time-Based Restricted StockF3,F4 | — | holding | — | — | — | — | — | Common Stock | 334 | — | D |
| 2013 Time-Based Restricted StockF3,F5 | — | holding | — | — | — | — | — | Common Stock | 467 | — | D |
| 2014 Time-Based Restricted StockF3,F6 | — | holding | — | — | — | — | — | Common Stock | 650 | — | D |
| 2015 Time-Based Restricted StockF3,F7 | — | holding | — | — | — | — | — | Common Stock | 650 | — | D |
| 2016 Performance Based Restricted Stock (1-year performance)F3,F8 | — | holding | — | — | — | — | — | Common Stock | 1,033 | — | D |
| 2016 Performance Based Restricted Stock (3-year performance)F3,F9 | — | holding | — | — | — | — | — | Common Stock | 516 | — | D |
| 2016 Time-Based Restricted StockF3,F10 | — | holding | — | — | — | — | — | Common Stock | 974 | — | D |
| Non-Qualified Stock Option (Right To Buy)F11 | $29.65 | holding | — | — | — | — | Jan 16, 2017 | Common Stock | 1,500 | — | D |
Explanation of responses
- F1multi-line entry...see next line for total
- F10Of 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.
- F11Represents 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.
- F2Based on a plan statement dated October 2016
- F3Each restricted stock unit represents a contingent right to receive one share of Issuer's common stock.
- F4Of 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.
- F5Of 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.
- F6Of 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.
- F7Of 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.
- F8These restricted stock units vest on 1-19-2019 if certain performance measures are achieved by the Issuer.
- F9These restricted stock units vest in 2019 if certain performance measures are achieved by the Issuer.