-----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, GOUdVTPXvZO4McEpjHagdQv4u+ouNxQbNmrXtdhDc1hkhDdV3zXYgp0QRZaGaCOw IIvpxhzGlQu0AwsEG4OBVg== 0001179110-05-021791.txt : 20051128 0001179110-05-021791.hdr.sgml : 20051128 20051128110906 ACCESSION NUMBER: 0001179110-05-021791 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051122 FILED AS OF DATE: 20051128 DATE AS OF CHANGE: 20051128 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCHMIDT JOHN K CENTRAL INDEX KEY: 0001184329 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15393 FILM NUMBER: 051227478 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 2005-11-22 0 0000920112 HEARTLAND FINANCIAL USA INC HTLF 0001184329 SCHMIDT JOHN K 1398 CENTRAL AVE. DUBUQUE IA 52001 1 1 0 0 EVP & CFO Common Stock 2005-11-22 5 G 0 E 3000 0 D 102683 D Common Stock 14622 I 401(k) Common Stock 4117.125 I Minor Child Common Stock 4117.125 I Minor Child Common Stock 4657.474 I Minor Child Common Stock 10125 I Spouse Non-Qualified Stock Option (Right to Buy 8.00 2007-01-02 Common Stock 16000 16000 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 24000 24000 D Non-Qualified Stock Option (Right to Buy 12.00 2010-01-17 Common Stock 9000 9000 D Non-Qualified Stock Option (Right to Buy 8.67 2011-06-01 Common Stock 9000 9000 D Non-Qualified Stock Option (Right to Buy 8.80 2012-01-15 Common Stock 3750 3750 D Non-Qualified Stock Option (Right to Buy 11.84 2013-01-21 Common Stock 10500 10500 D Non-Qualified Stock Option (Right to Buy) 19.48 2014-01-20 Common Stock 10000 10000 D Non-Qualified Stock Option (Right to Buy) 21.00 2015-02-10 Common Stock 10000 10000 D Includes 1,549 shares held jointly with reporting person's spouse. Shares held as Donna L. Schmidt Cust for Nicole M. Schmidt. Shares held as Donna L. Schmidt Cust for Alexander J. Schmidt. Shares held as Donna L. Schmidt Cust for Benjamin N. Schmidt. Shares participate in a Dividend Reinvestment Plan. 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 beneficial owner of such securities for purposes of Section 16 or for any other purpose. Represents options to buy granted under the Company's 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. Includes 16,000 Restricted Stock Awards granted under the 2005 Long-Term Incentive Plan. /s/ John K. Schmidt 2005-11-28 -----END PRIVACY-ENHANCED MESSAGE-----