0000920112-21-000210.txt : 20210701
0000920112-21-000210.hdr.sgml : 20210701
20210701151537
ACCESSION NUMBER: 0000920112-21-000210
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210630
FILED AS OF DATE: 20210701
DATE AS OF CHANGE: 20210701
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: 211065582
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_162516691116784.xml
FORM 4
X0306
4
2021-06-30
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
5436
I
As Trustee
Common Stock
2021-06-30
4
A
0
589
42.38
A
6025
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
2021 Time-Based Restricted Stock
Common Stock
0.0
0
D
2021 Performance Based Restricted Stock (3-year performance)
Common Stock
0.0
0
D
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
These shares are held by Lynn B. Fuller Trust Under Agreement dated 5-7-96, Lynn B. Fuller Trustee
Shares purchased 06/30/2021 through the Employee Stock Purchase Plan.
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 3-6-2022, 1/3 vest on 3-6-2023, and 1/3 vest on 3-6-2024.
These restricted stock units vest in 2024 if certain performance measures are achieved by the Issuer
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
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 2022 if certain performance measures are achieved by the Issuer
/s/ Lynn B. Fuller
2021-07-01