EVERTS EDWARD H 4

4 · HEARTLAND FINANCIAL USA INC · Filed Jan 22, 2004

Form 4

Period: 2004-01-22

SVP, Operations/Retail Banking

Transactions

Award
Non-Qualified Stock Option (Right To Buy)
2004-01-20+3,000→ 3,000 total
Exercise: $19.48Exp: 2014-01-20→ Common Stock (3,000 underlying)

Holdings

Common Stock
(indirect: By Spouse)
300
Non-Qualified Stock Option (Right to Buy
Exercise: $12.00Exp: 2010-01-17→ Common Stock (4,500 underlying)
4,500
Common Stock
(indirect: Son)
212.786
Common Stock
62,687.344
Common Stock
(indirect: Daughter)
105.615
Common Stock
(indirect: By 401(k))
2,322
Common Stock
(indirect: By IRA)
11,040
Non-Qualified Stock Option (Right to Buy
Exercise: $8.00Exp: 2007-01-02→ Common Stock (24,000 underlying)
24,000
Non-Qualified Stock Option (Right to Buy
Exercise: $8.67Exp: 2011-06-01→ Common Stock (3,000 underlying)
3,000
Non-Qualified Stock Option (Right to Buy
Exercise: $8.80Exp: 2012-01-15→ Common Stock (2,250 underlying)
2,250
Non-Qualified Stock Option (Right to Buy)
Exercise: $5.75Exp: 2006-02-05→ Common Stock (24,000 underlying)
24,000
Non-Qualified Stock Option (Right to Buy
Exercise: $12.00Exp: 2009-01-02→ Common Stock (18,000 underlying)
18,000

Footnotes (6)

[F1]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.
[F2]Represents shares held in a 401(k) account for reporting person's wife.
[F3]Shares participate in a Dividend Reinvestment Plan.
[F4]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.
[F5]This figure reflects the 3 for 2 stock split declared by the Company on December 29, 2003.
[F6]These shares reflect 865 shares issued December 31, 2003, pursuant to the Employee Stock Purchase Plan.

Documents

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