EX-99.1 5 ex991formofproxy.htm FORM OF PROXY EX 99.1 Form of Proxy


Exhibit 99.1
Proxy-First Shares, Inc.

SPECIAL MEETING OF SHAREHOLDERS

This proxy is solicited on behalf of the Board of Directors of First Shares, Inc..

The undersigned hereby appoints George Kieler and Jerome Huebner, or either of them, with power of substitution to each, as attorneys and proxies, and hereby authorizes them to represent the undersigned at the Special Meeting of Shareholders of First Shares, Inc. to be held at [ ] on [ ], 2012 at [ ] Central Time, and at any adjournment(s) or postponement(s) thereof, and to vote, as designated on the reverse side, all shares of Common Stock, $.25 par value, of First Shares, Inc. held of record by the undersigned on [ ], 2012 and which the undersigned would be entitled to vote if present in person at such Special Meeting, hereby revoking all previously granted proxies.

This proxy may be revoked by filing a subsequently dated proxy or by notifying the Secretary of First Shares, Inc. of your decision to revoke this proxy, either in person at the Special Meeting or in writing.

This proxy when properly executed will be voted in the manner directed herein by the undersigned. If no direction is given with respect to a particular proposal, this proxy will be voted FOR such proposal.



THE BOARD OF DIRECTORS RECOMMENDS A VOTE FOR EACH PROPOSAL.

1. To approve and adopt the Merger Agreement dated as of July 31, 2012, by and between Heartland Financial USA, Inc. and First Shares, Inc.
o   For
o   Against
o   Abstain

2. To approve the adjournment of the First Shares special meeting, if necessary or appropriate, to solicit additional proxies.
o   For
o   Against
o   Abstain

THIS PROXY WHEN PROPERLY EXECUTED WILL BE VOTED IN THE MANNER DIRECTED HEREIN BY THE UNDERSIGNED. IF NO DIRECTION IS GIVEN WITH RESPECT TO A PARTICULAR PROPOSAL, THIS PROXY WILL BE VOTED FOR SUCH PROPOSAL.

Authorized Signatures - Sign Here - This section must be completed for your instructions to be executed.
Please sign exactly as your name(s) appear(s) on this Proxy. If held in joint tenancy, all joint tenants must sign. Trustees, administrators, etc., should include title and authority. Corporations should provide full name of corporation and title of authorized officer signing the Proxy.


 
 
 
 
 

Date (mm/dd/yyyy)
oo/oo/oooo
 
Signature 1 - Please keep signature within the box
 
Signature 2 - Please keep signature within the box