-----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, BVV+EfMyjEREN2k361WShg5G3W1V/W7B9jzWyJyNhBm3FtKcyuCiXPZwj2uz8nWo 1NrIq6GGE2bwJIKTfBgkRA== 0001179110-09-016191.txt : 20091203 0001179110-09-016191.hdr.sgml : 20091203 20091203123011 ACCESSION NUMBER: 0001179110-09-016191 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091202 FILED AS OF DATE: 20091203 DATE AS OF CHANGE: 20091203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PECKOSH PAUL J CENTRAL INDEX KEY: 0001184328 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15393 FILM NUMBER: 091219510 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 - X0303 4 2009-12-02 0 0000920112 HEARTLAND FINANCIAL USA INC HTLF 0001184328 PECKOSH PAUL J 1398 CENTRAL AVE. DUBUQUE IA 52001 0 1 0 0 SVP, Trust Common Stock 2009-12-02 4 M 0 2250 12.00 A 0 D Common Stock 2009-12-02 4 F 0 1997 14.40 D 97602 D Common Stock 8232 I 401(k) Common Stock 2275 I By Spouse Common Stock 6609 I HTLF Retirement Plan Non-Qualified Stock Option (Right to Buy 12.00 2009-12-02 4 M 0 2250 0 D 2010-01-17 Common Stock 0 0 D Non-Qualified Stock Option (Right to Buy 8.67 2011-06-01 Common Stock 750 750 D Non-Qualified Stock Option (Right to Buy 8.80 2012-01-15 Common Stock 750 750 D Non-Qualified Stock Option (Right to Buy 11.84 2013-01-21 Common Stock 3000 3000 D Non-Qualified Stock Option (Right to Buy) 19.48 2014-01-20 Common Stock 2000 2000 D Non-Qualified Stock Option (Right to Buy) 21.00 2015-02-10 Common Stock 2000 2000 D Non-Qualified Stock Option (Right to Buy 21.60 2016-02-06 Common Stock 1500 1500 D Non-Qualified Stock Option (Right to Buy) 29.65 2017-01-16 Common Stock 1500 1500 D Non-Qualified Stock Option (Right to Buy) 18.60 2018-01-24 Common Stock 1500 1500 D Includes 4,940 shares held jointly with reporting person's spouse. 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 3,231 Restricted Stock Awards granted under the 2005 Long-Term Incentive Plan. Represents shares allocated to the reporting person's account under the Heartland Financial USA, Inc. Retirement Plan as a result of the Pension Plan Protection Act of 2006. Includes 2,500 shares held in street name at Howe Barnes Investments. Double line entry - see next line for total. /s/ Paul J. Peckosh 2009-12-03 -----END PRIVACY-ENHANCED MESSAGE-----