SEC Form 4 · accession 0000920112-17-000040
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 17, 2017
Accepted (ET)
Jan 19, 2017 · 5:00 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 StockF4 | Jan 17, 2017 | M | 652 | $45.75 | A | 78,045 | I | Trust |
| Common StockF4 | Jan 18, 2017 | M | 1,043 | $46.40 | A | 79,088 | I | Trust |
| Common StockF1 | holding | — | — | — | 15,720 | I | 401(k) | |
| Common StockF2 | holding | — | — | — | 27,000 | I | Spouse's Trust | |
| Common StockF3 | holding | — | — | — | 25,000 | I | Trust | |
| Common StockF4 | holding | — | — | — | 77,393 | I | Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 2012 Time-Based Restricted StockF5,F6 | — | Jan 17, 2017 | F | 1,063 | D | — | — | Common Stock | 0 | 0 | D |
| 2014 Performance Based Restricted StockF5,F8 | — | Jan 18, 2017 | F | 1,664 | D | — | — | Common Stock | 0 | 0 | D |
| 2012 Time-Based Restricted StockF5,F6 | — | holding | — | — | — | — | — | Common Stock | 1,063 | 0 | D |
| 2013 Time-Based Restricted StockF5,F7 | — | holding | — | — | — | — | — | Common Stock | 1,500 | 0 | D |
| 2014 Performance Based Restricted StockF5,F8 | — | holding | — | — | — | — | — | Common Stock | 1,664 | 0 | D |
| 2014 Time-Based Restricted StockF5,F9 | — | holding | — | — | — | — | — | Common Stock | 2,025 | 0 | D |
| 2015 Performance Based Restricted StockF5,F10 | — | holding | — | — | — | — | — | Common Stock | 1,990 | 0 | D |
| 2015 Time-Based Restricted StockF5,F11 | — | holding | — | — | — | — | — | Common Stock | 2,050 | 0 | D |
| 2016 Performance Based Restricted Stock (1-year performance)F5,F12,F13 | — | holding | — | — | — | — | — | Common Stock | 1,050 | — | D |
| 2016 Performance Based Restricted Stock (3-year performance)F5,F14 | — | holding | — | — | — | — | — | Common Stock | 758 | 0 | D |
| 2016 Time-Based Restricted StockF5,F15 | — | holding | — | — | — | — | — | Common Stock | 1,429 | 0 | D |
| 2017 Time-Based Restricted StockF5,F16 | — | holding | — | — | — | — | — | Common Stock | 1,133 | — | D |
Explanation of responses
- F1Based on a plan statement dated August 2016
- 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 1-20-2018, 1/3 vest on 1-20-2019, and 1/3 vest on 1-20-2020.
- F12These restricted stock units vest on 1-19-2019 if certain performance measures are achieved by the Issuer.
- F13Reflects the forfeiture of 465 shares granted but not earned in 2016 based on target performance metrics.
- F14These restricted stock units vest in 2019 if certain performance measures are achieved by the Issuer.
- F15Of 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.
- F16Of these restricted stock units, 1/3 vest in 01-2018, 1/3 vest in 01-2019 and 1/3 vest in 01-2020.
- F2These shares are held by Karen M Horstmann Declaration of Trust dated 8/13/2011, Karen M Horstmann, Trustee
- F3These shares are held by Douglas J Horstmann Declaration of Trust under agreement dated 8/13/2011, Douglas J Horstmann, Trustee
- F4These shares are held by Doulgas J Horstmann Trust under agreement dated 8/13/2011 FBO Douglas J Horstmann Declaration of Trust
- F5Each restricted stock unit represents a contingent right to receive one share of Issuer's common stock.
- F6Of 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.
- F7Of 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.
- 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 3-11-2017, 1/3 vest on 3-11-2018, and 1/3 vest on 3-11-2019.