-----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, D7ydMA2/SgpKRV/HJ1QWn2P1tqpnXQ8xS6Gz8bThghtw6u92ArTbdQZAZGDgIYYX 9X8neqrlupOXinwqvzGdZg== 0001179110-05-003663.txt : 20050217 0001179110-05-003663.hdr.sgml : 20050217 20050217114038 ACCESSION NUMBER: 0001179110-05-003663 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050210 FILED AS OF DATE: 20050217 DATE AS OF CHANGE: 20050217 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: EVERTS EDWARD H CENTRAL INDEX KEY: 0001184319 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15393 FILM NUMBER: 05623063 MAIL ADDRESS: STREET 1: 1398 CENTRAL AVE CITY: DUBUQUE STATE: IA ZIP: 52001 4 1 edgar.xml FORM 4 - X0202 4 2005-02-10 0 0000920112 HEARTLAND FINANCIAL USA INC HTLF 0001184319 EVERTS EDWARD H 1398 CENTRAL AVE. DUBUQUE IA 52001 0 1 0 0 SVP, Operations/Retail Banking Common Stock 62813.672 D Common Stock 216.448 I Son Common Stock 12203.652 I IRA Common Stock 2322 I 401(k) Common Stock 300 I 401(k)-Wife Non-Qualified Stock Option (Right to Buy) 5.75 2006-02-05 Common Stock 24000 24000 D Non-Qualified Stock Option (Right to Buy 8.00 2007-01-02 Common Stock 24000 24000 D Non-Qualified Stock Option (Right to Buy 9.83 2008-01-02 Common Stock 24000 24000 D Non-Qualified Stock Option (Right to Buy 12.00 2009-01-02 Common Stock 18000 18000 D Non-Qualified Stock Option (Right to Buy 12.00 2010-01-17 Common Stock 4500 4500 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 2250 2250 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 Non-Qualified Stock Option (Right to Buy) 21.00 2005-02-10 4 A 0 3000 0 A 2015-02-10 Common Stock 3000 3000 D The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed to be an admission that the reporting person is the benefical owner of such securities for purposes of Section 16 or for any other purpose. Represents shares held in a 401(k) account for reporting person's wife. Shares participate in a Dividend Reinvestment Plan. 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. These shares reflect 123 shares issued 12/31/04, pursuant to the Employee Stock Purchase Plan. /s/ Edward H. Everts 2005-02-17 -----END PRIVACY-ENHANCED MESSAGE-----