0001179110-12-000947.txt : 20120119
0001179110-12-000947.hdr.sgml : 20120119
20120119185518
ACCESSION NUMBER: 0001179110-12-000947
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120117
FILED AS OF DATE: 20120119
DATE AS OF CHANGE: 20120119
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: 12535596
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 -
X0304
4
2012-01-17
0
0000920112
HEARTLAND FINANCIAL USA INC
HTLF
0001184324
FULLER LYNN B
1398 CENTRAL AVE.
DUBUQUE
IA
52001
1
1
0
0
President & CEO
Common Stock
2012-01-17
4
A
0
16500
0
A
34500
D
Common Stock
578862
I
As Trustee
Common Stock
21000
I
Partnership
Common Stock
6000
I
By Spouse
Common Stock
2142.233
I
By Son
Common Stock
123078
I
As Trustee
Common Stock
673.445
I
By Son
Common Stock
12188
I
HTLF Retirement Plan
Non-Qualified Stock Option (Right To Buy)
19.48
2014-01-20
Common Stock
15000
15000
D
Non-Qualified Stock Option (Right to Buy)
21.00
2015-02-10
Common Stock
15000
15000
D
Non-Qualified Stock Option (Right to Buy
21.60
2016-02-06
Common Stock
10000
10000
D
Non-Qualified Stock Option (Right to Buy)
29.65
2017-01-16
Common Stock
10000
10000
D
Non-Qualified Stock Option (Right to Buy)
18.60
2018-01-24
Common Stock
8000
8000
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 beneficial owner of such securities for purposes of Section 16 or any other purpose.
Shares held by Lynn B. Fuller Trust Under Agreement dated 5-7-96, Lynn B. Fuller Trustee
Shares held by the Emma O. Fuller Trust dated 9-3-85 Dubuque Bank & Trust, L.S. Fuller & L.B. Fuller, co-trustees
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.
These shares participate in a Dividend Reinvestment 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 26,250 Restricted Stock Units (RSU). Each RSU represents the right to receive one share of common stock. The grant vests in three equal installments on the third, fourth and fifth anniversaries of the grant date.
These shares are registered to Lynn H. Fuller.
These shares are registered to Thomas John Fuller.
Includes 8,250 shares of Performance Based Restricted Stock.
Includes 65 shares issued as an Employee Service Award.
/s/ Lynn B. Fuller
2012-01-19