-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, MtpkU3Syfdjp0sVJ0obmfOUtxz57labDRnfP3kt3bMxC6a84DnKzQcrb5ZUt5QLP waFAyi7PjcC3fDUOFO6ImQ== 0001179110-04-022348.txt : 20041202 0001179110-04-022348.hdr.sgml : 20041202 20041202095034 ACCESSION NUMBER: 0001179110-04-022348 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041201 FILED AS OF DATE: 20041202 DATE AS OF CHANGE: 20041202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MILLER MELVIN E CENTRAL INDEX KEY: 0001291362 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15393 FILM NUMBER: 041179011 BUSINESS ADDRESS: BUSINESS PHONE: (563) 584-2517 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 edgar.xml FORM 4 - X0202 4 2004-12-01 0 0000920112 HEARTLAND FINANCIAL USA INC HTLF 0001291362 MILLER MELVIN E 1398 CENTRAL AVE. DUBUQUE IA 52001 0 1 0 0 Chief Investment Officer Common Stock 2004-12-01 4 G 0 250 0 D 8364 D Common Stock 9700 I IRA Common Stock 7680 I Retirement Fund Non-Qualified Stock Option (Right to Buy) 12.00 2009-01-02 Common Stock 3000 3000 D Non-Qualified Stock Option (Right to Buy 12.00 2010-01-17 Common Stock 3000 3000 D Non-Qualified Stock Option (Right to Buy 8.67 2011-06-01 Common Stock 3000 3000 D Non-Qualified Stock Option (Right to Buy 8.80 2012-01-15 Common Stock 6000 6000 D Non-Qualified Stock Option (Right to Buy 11.84 2013-01-21 Common Stock 4500 4500 D Non-Qualified Stock Option (Right to Buy 19.48 2014-01-20 Common Stock 3000 3000 D Shares held jointly with reporting person's spouse. Represents options to buy granted under the Company's 1993 Stock Option Plan, a Rule 16(b)(3) plan, which options vest one-third per year beginning on the 3rd anniversary of date of grant. /s/ Melvin E. Miller 2004-12-02 -----END PRIVACY-ENHANCED MESSAGE-----