0000920112-17-000277.txt : 20171130 0000920112-17-000277.hdr.sgml : 20171130 20171130090845 ACCESSION NUMBER: 0000920112-17-000277 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171129 FILED AS OF DATE: 20171130 DATE AS OF CHANGE: 20171130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HORSTMANN DOUGLAS J CENTRAL INDEX KEY: 0001184326 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15393 FILM NUMBER: 171230021 MAIL ADDRESS: STREET 1: 1398 CENTRAL AVE CITY: DUBUQUE STATE: IA ZIP: 52001 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HEARTLAND FINANCIAL USA INC CENTRAL INDEX KEY: 0000920112 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 421405748 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1398 CENTRAL AVE CITY: DUBUQUE STATE: IA ZIP: 52001 BUSINESS PHONE: 5635892000 MAIL ADDRESS: STREET 1: 1398 CENTRAL AVE CITY: DUBUQUE STATE: IA ZIP: 52001 4 1 wf-form4_151205091093690.xml FORM 4 X0306 4 2017-11-29 0 0000920112 HEARTLAND FINANCIAL USA INC HTLF 0001184326 HORSTMANN DOUGLAS J 1398 CENTRAL AVE. DUBUQUE IA 52001 0 1 0 0 EVP, Lending Common Stock 70676 I Trust Common Stock 25000 I Trust Common Stock 27000 I Spouse's Trust Common Stock 10720 I 401(k) Common Stock 2017-11-29 4 D 0 2000 50.34 D 8720 I 401(k) 2016 Performance Based Restricted Stock (3-year performance) Common Stock 758.0 0 D 2017 Performance Based Restricted Stock (1-year performance) Common Stock 1133.0 0 D 2017 Performance Based Restricted Stock (3-year performance) Common Stock 566.0 0 D These shares are held by Doulgas J Horstmann Trust under agreement dated 8/13/2011 FBO Douglas J Horstmann Declaration of Trust These shares are held by Douglas J Horstmann Declaration of Trust under agreement dated 8/13/2011, Douglas J Horstmann, Trustee These shares are held by Karen M Horstmann Declaration of Trust dated 8/13/2011, Karen M Horstmann, Trustee Based on a plan statement dated August 2016 Each restricted stock unit represents a contingent right to receive one share of Issuer's common stock. These restricted stock units vest in 2019 if certain performance measures are achieved by the Issuer. These restricted stock units vest on 1-19-2020 if certain performance measures are achieved by the Issuer. These restricted stock units vest in 2020 if certain performance measures are achieved by the Issuer. /s/ Douglas J. Horstmann 2017-11-30