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