0000920112-21-000068.txt : 20210317 0000920112-21-000068.hdr.sgml : 20210317 20210317172507 ACCESSION NUMBER: 0000920112-21-000068 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210316 FILED AS OF DATE: 20210317 DATE AS OF CHANGE: 20210317 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FULLER LYNN B CENTRAL INDEX KEY: 0001184324 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15393 FILM NUMBER: 21751645 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_161601628920386.xml FORM 4 X0306 4 2021-03-16 0 0000920112 HEARTLAND FINANCIAL USA INC HTLF 0001184324 FULLER LYNN B 1398 CENTRAL AVE. DUBUQUE IA 52001 1 1 0 0 Executive Operating Chairman Common Stock 92669 I GST TRUST Common Stock 277736 I As Trustee Common Stock 2021-03-16 4 M 0 2376 52.06 A 280112 I As Trustee Common Stock 2021-03-16 4 G 0 137338 0 D 142774 I As Trustee Common Stock 2021-03-16 4 G 0 137338 0 D 5436 I As Trustee Common Stock 254258 I Family II LLLP Common Stock 313180 I Family LLLP Common Stock 5000 I Spouses Trust Common Stock 12188 I HTLF Retirement Plan 2020 Time-Based Restricted Stock Common Stock 4946.0 0 D 2020 Performance Based Restricted Stock (3-year performance) Common Stock 4946.0 0 D 2019 Time-Based Restricted Stock Common Stock 2932.0 0 D 2019 Performance Based Restricted Stock (3-year performance) Common Stock 4398.0 0 D 2018 Performance Based Restricted Stock (3-year performance) Common Stock 3056.0 0 D 2018 Performance Based Restricted Stock (3-year performance) 2021-03-16 4 F 0 3412 52.06 D Common Stock 0.0 0 D These shares are held by Lynn B. Fuller Trust Under Agreement dated 5-7-96, Lynn B. Fuller Trustee These shares are held by LBF Heartland Partnership LLLC - Lynn B Fuller is the General Partner. Wife and two (2) adult sons are Limited Partners. These shares are held by Cynthia A Fuller Declaration of Trust under agreement dated 7/2/2015, Cynthia A Fuller, Trustee Represents shares allocated to the reporting person's account under the Heartland Financial USA, Inc. Retirement Plan as a result of the Pension Plan Protectin Act of 2006. Each restricted stock unit represents a contingent right to receive one share of Issuer's common stock. Of these restricted stock units, 1/3 vest on 3-6-2021, 1/3 vest on 3-6-2022, and 1/3 vest on 3-6-2023. These restricted stock units vest in 2023 if certain performance measures are achieved by the Issuer These restricted stock units vest in 2022 if certain performance measures are achieved by the Issuer Of these restricted stock units, 1/3 vest on 3-6-2020, 1/3 vest on 3-6-2021, and 1/3 vest on 3-6-2022. These restricted stock units vest in 2021 if certain performance measures are achieved by the Issuer. /s/ Lynn B. Fuller 2021-03-17