Insider filing report for Changes in Beneficial Ownership
- Schedule 13G & 13D forms are used to report a party's ownership of stock which exceeds 5% of a company's total stock issue.
- Schedule 13G is a shorter version of Schedule 13D with fewer reporting requirements.
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Amendment No. 2 to
SCHEDULE 13D
Under the Securities Exchange Act of 1934
HEARTLAND FINANCIAL USA, INC.
(Name of Issuer)
Common Stock, par value $1.00 per share
(Title of Class of Securities)
42234Q102
(CUSIP Number)
Lynn B. Fuller 960 Prince Phillip Drive Dubuque, IA 52003 (563) 599-6350 |
Thomas J. Fuller 2735 West Armitage Ave, #201 Chicago, IL 60647 (563) 542-1418 |
The address for all other Reporting Persons is:
Marcus J. Williams
Buchalter APC
1000 Wilshire Blvd., Suite 1500
Los Angeles, CA 90017
(213) 891-5088
(Name, Address and Telephone Number of Persons Authorized to Receive Notices and Communications)
December 16, 2022
(Date of Event which Requires Filing of this Statement)
If the filing person has previously filed a statement on Schedule 13G to report the acquisition that is the subject of this Schedule 13D, and is filing this schedule because of §§240.13d-1(e), 240.13d-l(f) or 240.13d-l(g), check the following box. ☐
Note: Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See §240.13d-7 for other parties to whom copies are to be sent.
* | The remainder of this cover page shall be filled out for a reporting persons initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page. |
The information required on the remainder of this cover page shall not be deemed to be filed for the purpose of Section 18 of the Securities Exchange Act of 1934 (Act) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
CUSIP No. 42234Q102
1. | Names of Reporting Persons.
Lynn B. Fuller Lynn B. Fuller Trust Under Agreement Dated 5/7/1996 Lynn S. Fuller Family GST Trust (Lynn B. Fuller Trustee) LBF Heartland Partnership LLLP LBF Heartland Partnership II LLLP | |||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) (a) ☒ (b) ☐
| |||||
3. | SEC Use Only
| |||||
4. | Source of Funds (See Instructions)
OO, PF | |||||
5. | Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)
☐ | |||||
6. | Citizenship or Place of Organization
U.S.A citizen, Iowa Trust and Limited Partnership, Florida Trust (GST) |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
7. | Sole Voting Power
685,083 (1) | ||||
8. | 0; | Shared Voting Power
0 (2) | ||||
9. | Sole Dispositive Power
685,083 (1) | |||||
10. | Shared Dispositive Power
0 (2) |
11. |
Aggregate Amount Beneficially Owned by Each Reporting Person
685,083 (1)(2) | |||||
12. | Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) (2)
☒ | |||||
13. | Percent of Class Represented by Amount in Row (11)
1.61% | |||||
14. | Type of Reporting Person (See Instructions)
IN, OO (Trust), PN |
(1) | Represents 12,188 shares of Common Stock held in a 401(k) retirement account for the benefit of Lynn B. Fuller; 12,788 shares of Common Stock held by the Lynn B. Fuller Trust Under Agreement Dated 5/7/1996, for which Lynn B. Fuller serves as sole trustee with sole voting and dispositive power; 92,669 shares of Common Stock held by the Lynn S. Fuller Family GST Trust Under Agreement Dated 9/19/91 (Lynn B. Fuller Trustee), over which shares Lynn B. Fuller has sole voting and dispositive power; 313,180 shares of Common Stock held by LBF Heartland Partnership LLLP, for which Lynn B. Fuller serves as general partner with sole voting and dispositive power; and 254,258 shares of Common Stock held by LBF Heartland Partnership II LLLP, for which Lynn B. Fuller serves as general partner with sole voting and dispositive power. |
(2) | As a result of the Stockholder Agreement described in Item 2, below, the Reporting Persons may be deemed to have shared voting power and shared dispositive power with respect to an aggregate of 2,858,309 shares of common stock deemed beneficially owned pursuant to Rule 13d-3 with respect to the matters covered by the Stockholder Agreement. Each of the Reporting Persons disclaims all beneficial ownership of all such shares except as set forth in Row 11. |
CUSIP No. 42234Q102
1. | Names of Reporting Persons.
Thomas J. Fuller Thomas J. Fuller Trust Under Agreement Dated 02/26/2021 | |||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) (a) ☒ (b) ☐
| |||||
3. | SEC Use Only
| |||||
4. | Source of Funds (See Instructions)
OO, PF | |||||
5. | Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)
☐ | |||||
6. | Citizenship or Place of Organization
U.S.A citizen, Iowa Trust | |||||
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
7. | Sole Voting Power
132,671 (1) | ||||
8. | Shared Voting Power
0 (2) | |||||
9. | Sole Dispositive Power
132,671 (1) | |||||
10. | Shared Dispositive Power
0 (2) | |||||
11. |
Aggregate Amount Beneficially Owned by Each Reporting Person
132,671 (1)(2) | |||||
12. | Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) (2)
☒ | |||||
13. | Percent of Class Represented by Amount in Row (11)
* | |||||
14. | Type of Reporting Person (See Instructions)
IN, OO (Trust) |
(*) | indicates less than one percent. |
(1) | Represents 132,472 shares of Common Stock held by the Thomas J. Fuller Trust Under Agreement Dated 02/26/2021 and 199 shares of Common Stock held by Thomas J. Fuller directly. Of these shares, 96,580 are pledged in a margin account. |
(2) | As a result of the Stockholder Agreement described in Item 2, below, the Reporting Persons may be deemed to have shared voting power and shared dispositive power with respect to an aggregate of 2,858,309 shares of common stock deemed beneficially owned pursuant to Rule 13d-3 with respect to the matters covered by the Stockholder Agreement. The Reporting Person disclaims beneficial ownership of all shares other than those identified in Row 11. |
2
CUSIP No. 42234Q102
1. | Names of Reporting Persons.
Cynthia A. Fuller Cynthia A. Fuller Trust Under Agreement Dated 7/2/2015 | |||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) (a) ☒ (b) ☐
| |||||
3. | SEC Use Only
| |||||
4. | Source of Funds (See Instructions)
OO, PF | |||||
5. | Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)
☐ | |||||
6. | Citizenship or Place of Organization
U.S.A citizen, Iowa Trust | |||||
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
7. | Sole Voting Power
11,000 (1) | ||||
8. | Shared Voting Power
0 (2) | |||||
9. | Sole Dispositive Power
11,000 (1) | |||||
10. | Shared Dispositive Power
11,000 (2) | |||||
11. |
Aggregate Amount Beneficially Owned by Each Reporting Person
11,000 (1)(2) | |||||
12. | Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) (2)
☒ | |||||
13. | Percent of Class Represented by Amount in Row (11)
* | |||||
14. | Type of Reporting Person (See Instructions)
IN, OO (trust) |
(*) | indicates less than one percent. |
(1) | Represents 11,000 shares of Common Stock held by the Cynthia A. Fuller Trust under Agreement Dated 7/2/2015, for which Ms. Cynthia A. Fuller serves as sole trustee with sole voting and dispositive power. |
(2) | As a result of the Stockholder Agreement described in Item 2, below, the Reporting Persons may be deemed to have shared voting power and shared dispositive power with respect to an aggregate of 2,858,309 shares of common stock deemed beneficially owned pursuant to Rule 13d-3 with respect to the matters covered by the Stockholder Agreement. Each of the Reporting Persons disclaims all beneficial ownership of all such shares except as set forth in Row 11. |
3
CUSIP No. 42234Q102
1. | Names of Reporting Persons.
Barry H. Orr | |||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) (a) ☒ (b) ☐
| |||||
3. | SEC Use Only
| |||||
4. | Source of Funds (See Instructions)
OO, PF | |||||
5. | Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)
☐ | |||||
6. | Citizenship or Place of Organization
U.S.A citizen | |||||
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
7. | Sole Voting Power
6,081 (1) | ||||
8. | Shared Voting Power
155,065 (2)(3) | |||||
9. | Sole Dispositive Power
6,081 (1) | |||||
10. | Shared Dispositive Power
155,065 (2)(3) | |||||
11. |
Aggregate Amount Beneficially Owned by Each Reporting Person
161,146 (1)(2)(3) | |||||
12. | Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) (2)
☒ | |||||
13. | Percent of Class Represented by Amount in Row (11)
* | |||||
14. | Type of Reporting Person (See Instructions)
IN |
(*) | indicates less than one percent. |
(1) | Represents 6,081 held directly by Barry H. Orr. |
(2) | Represents shares held by Barry H. Orr and his spouse, Kathy Orr, as joint tenants. |
(3) | As a result of the Stockholder Agreement described in Item 2, below, the Reporting Persons may be deemed to have shared voting power and shared dispositive power with respect to an aggregate of 2,858,309 shares of common stock deemed beneficially owned pursuant to Rule 13d-3 with respect to the matters covered by the Stockholder Agreement. Each of the Reporting Persons disclaims all beneficial ownership of all such shares except as set forth in Row 11. |
4
CUSIP No. 42234Q102
1. | Names of Reporting Persons.
Kathy Orr | |||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) (a) ☒ (b) ☐
| |||||
3. | SEC Use Only
| |||||
4. | Source of Funds (See Instructions)
OO, PF | |||||
5. | Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)
☐ | |||||
6. | Citizenship or Place of Organization
U.S.A citizen | |||||
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
7. | Sole Voting Power
0 | ||||
8. | Shared Voting Power
139,886 (1)(2) | |||||
9. | Sole Dispositive Power
0 | |||||
10. | Shared Dispositive Power
139,886 (1)(2) | |||||
11. |
Aggregate Amount Beneficially Owned by Each Reporting Person
139,886 (1)(2) | |||||
12. | Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) (2)
☒ | |||||
13. | Percent of Class Represented by Amount in Row (11)
* | |||||
14. | Type of Reporting Person (See Instructions)
IN |
(*) | indicates less than one percent. |
(1) | Represents shares held by Kathy Orr and her spouse, Barry H. Orr, as joint tenants. |
(2) | As a result of the Stockholder Agreement described in Item 2, below, the Reporting Persons may be deemed to have shared voting power and shared dispositive power with respect to an aggregate of 2,858,309 shares of common stock deemed beneficially owned pursuant to Rule 13d-3 with respect to the matters covered by the Stockholder Agreement. Each of the Reporting Persons disclaims all beneficial ownership of all such shares except as set forth in Row 11. |
5
CUSIP No. 42234Q102
1. | Names of Reporting Persons.
Mary Lou Fuller Mary Lou Fuller Trust Under Agreement Dated 7/24/2018 Mary Lou Fuller Trustee Lynn S. Fuller Family GST Trust FBO Mary Lou Fuller U/A 9/19/91 | |||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) (a) ☒ (b) ☐
| |||||
3. | SEC Use Only
| |||||
4. | Source of Funds (See Instructions)
OO, PF | |||||
5. | Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)
☐ | |||||
6. | Citizenship or Place of Organization
U.S.A citizen; Illinois Trust; Florida Trust (GST) |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
7. | Sole Voting Power
374,863 (1) | ||||
8. | Shared Voting Power
0 (2) | |||||
9. | Sole Dispositive Power
374,863 (1) | |||||
10. | Shared Dispositive Power
0 (2) |
11. |
Aggregate Amount Beneficially Owned by Each Reporting Person
374,863 (1)(2) | |||||
12. | Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) (2) < p style="margin-top:0pt; margin-bottom:1pt; font-size:12pt; font-family:Times New Roman">☒ | |||||
13. | Percent of Class Represented by Amount in Row (11)
* | |||||
14. | Type of Reporting Person (See Instructions)
IN, OO (Trust) |
(*) | indicates less than one percent. |
(1) | Represents 282,193 shares of Common Stock held by the Mary Lou Fuller Trust Under Agreement Dated 7/24/2018, for which Mary Lou Fuller serves as sole trustee with sole voting and dispositive power, and 92,670 shares of Common Stock held by Mary Lou Fuller Trustee Lynn S. Fuller Family GST Trust FBO Mary Lou Fuller U/A 9/19/91 over which shares Mary Lou Fuller has sole voting and dispositive power. |
(2) | As a result of the Stockholder Agreement described in Item 2, below, the Reporting Persons may be deemed to have shared voting power and shared dispositive power with respect to an aggregate of 2,858,309 shares of common stock deemed beneficially owned pursuant to Rule 13d-3 with respect to the matters covered by the Stockholder Agreement. Each of the Reporting Persons disclaims all beneficial ownership of all such shares except as set forth in Row 11. |
6
CUSIP No. 42234Q102
1. | Names of Reporting Persons.
Kurt M. Saylor Kurt M. Saylor Trust Under Agreement Dated 1/6/1998 | |||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) (a) ☒ (b) ☐
| |||||
3. | SEC Use Only
| |||||
4. | Source of Funds (See Instructions)
OO, PF | |||||
5. | Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)
☐ | |||||
6. | Citizenship or Place of Organization
U.S.A citizen, Kansas Trust |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
7. | Sole Voting Power
111,935 (1) | ||||
8. | Shared Voting Power
0 (2) | |||||
9. | Sole Dispositive Power
111,935 (1) | |||||
10. | Shared Dispositive Power
0 (2) |
11. |
Aggregate Amount Beneficially Owned by Each Reporting Person
111,935 (1)(2) | |||||
12. | Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) (2)
☒ | |||||
13. | Percent of Class Represented by Amount in Row (11)
* | |||||
14. | Type of Reporting Person (See Instructions)
IN, OO (Trust) |
(*) | indicates less than one percent. |
(1) | Represents 111,935 shares of Common Stock held by the Kurt M. Saylor Trust Under Agreement Dated 1/6/1998, for which Kurt M. Saylor serves as sole trustee with sole voting and dispositive power. |
(2) | As a result of the Stockholder Agreement described in Item 2, below, the Reporting Persons may be deemed to have shared voting power and shared dispositive power with respect to vote up to an aggregate of 2,858,309 shares of common stock deemed beneficially owned pursuant to Rule 13d-3 with respect to the matters covered by the Stockholder Agreement. Each of the Reporting Persons disclaims all beneficial ownership of all such shares except as set forth in Row 11. |
7
CUSIP No. 42234Q102
1. | Names of Reporting Persons.
Melissa J. Saylor Melissa J. Saylor Trust Under Agreement Dated 1/6/1998 | |||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) (a) ☒ (b) ☐
| |||||
3. | SEC Use Only
| |||||
4. | Source of Funds (See Instructions)
OO, PF | |||||
5. | Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)
☐ | |||||
6. | Citizenship or Place of Organization
U.S.A citizen, Kansas Trust |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
7. | Sole Voting Power
46,311 (1) | ||||
8. | Shared Voting Power
0 (2) | |||||
9. | Sole Dispositive Power
46,311 (1) | |||||
10. | Shared Dispositive Power
0 (2) |
11. |
Aggregate Amount Beneficially Owned by Each Reporting Person
46,311 (1) | |||||
12. | Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) (2)
☒ | |||||
13. | Percent of Class Represented by Amount in Row (11) xA0; * | |||||
14. | Type of Reporting Person (See Instructions)
IN, OO (Trust) |
(*) | indicates less than one percent. |
(1) | Represents 46,311 shares of Common Stock held by the Melissa J. Saylor Trust Under Agreement Dated 1/6/1998, for which Melissa J. Saylor serves as sole trustee with sole voting and dispositive power. |
(2) | As a result of the Stockholder Agreement described in Item 2, below, the Reporting Persons may be deemed to have shared voting power and shared dispositive power with respect to an aggregate of 2,858,309 shares of common stock deemed beneficially owned pursuant to Rule 13d-3 with respect to the matters covered by the Stockholder Agreement. Each of the Reporting Persons disclaims all beneficial ownership of all such shares except as set forth in Row 11. |
8
CUSIP No. 42234Q102
1. | Names of Reporting Persons.
Thomas G. Richards Thomas G. Richards Living Trust | |||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) (a) ☒ (b) ☐
| |||||
3. | SEC Use Only
| |||||
4. | Source of Funds (See Instructions)
OO, PF | |||||
5. | Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)
☐ | |||||
6. | Citizenship or Place of Organization
U.S.A. citizen, California Trust |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
7. | Sole Voting Power
76,654 (1) | ||||
8. | Shared Voting Power
0 (2) | |||||
9. | Sole Dispositive Power
76,654 (1) | |||||
10. | Shared Dispositive Power
0 (2) |
11. |
Aggregate Amount Beneficially Owned by Each Reporting Person
76,654 (1) | |||||
12. | Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) (2)
☒ | |||||
13. | Percent of Class Represented by Amount in Row (11)
* | |||||
14. | Type of Reporting Person (See Instructions)
IN, OO (Trust) |
(*) | indicates less than one percent. |
(1) | Represents 70,045 shares of Common Stock held by the Thomas G. Richards Living Trust, for which Thomas G. Richards serves as sole trustee with sole voting and dispositive power; 292 shares of Common Stock held by an individual retirement account for the benefit of Thomas G. Richards, and 6,317 shares held by Thomas G. Richards under the name Thomas Richards or Tom G. Richards. |
(2) | As a result of the Stockholder Agreement described in Item 2, below, the Reporting Persons may be deemed to have shared voting power and shared dispositive power with respect to an aggregate of 2,858,309 shares of common stock deemed beneficially owned pursuant to Rule 13d-3 with respect to the matters covered by the Stockholder Agreement. Each of the Reporting Persons disclaims all beneficial ownership of all such shares except as set forth in Row 11. |
9
CUSIP No. 42234Q102
1. | Names of Reporting Persons.
R. Bruce Orr | |||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) (a) ☒ (b) ☐
| |||||
3. | SEC Use Only
| |||||
4. | Source of Funds (See Instructions)
OO, PF | |||||
5. | Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)
☐ | |||||
6. | Citizenship or Place of Organization
U.S.A citizen |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
7. | Sole Voting Power
55,085 | ||||
8. | Shared Voting Power
0 (1) | |||||
9. | Sole Dispositive Power
55,085 | |||||
10. | Shared Dispositive Power
0 (1) |
11. |
Aggregate Amount Beneficially Owned by Each Reporting Person
55,085 (1) | |||||
12. | Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) (2)
☒ | |||||
13. | Percent of Class Represented by Amount in Row (11)
* | |||||
14. | Type of Reporting Person (See Instructions)
IN |
(*) | indicates less than one percent. |
(1) | As a result of the Stockholder Agreement described in Item 2, below, the Reporting Persons may be deemed to have shared voting power and shared dispositive power with respect to an aggregate of 2,858,309 shares of common stock deemed beneficially owned pursuant to Rule 13d-3 with respect to the matters covered by the Stockholder Agreement. Each of the Reporting Persons disclaims all beneficial ownership of all such shares except as set forth in Row 11. |
10
CUSIP No. 42234Q102
1. | Names of Reporting Persons.
Barry Brown | |||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) (a) ☒ (b) ☐
| |||||
3. | SEC Use Only
| |||||
4. | Source of Funds (See Instructions)
OO, PF | |||||
5. | Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)
☐ | |||||
6. | Citizenship or Place of Organization
U.S.A |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
7. | Sole Voting Power
165,972 | ||||
8. | Shared Voting Power
0 (1) | |||||
9. | Sole Dispositive Power
165,972 | |||||
10. | Shared Dispositive Power
0 (1) |
11. |
Aggregate Amount Beneficially Owned by Each Reporting Person
165,972 (1) | |||||
12. | Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) (2)
☒ | |||||
13. | Percent of Class Represented by Amount in Row (11)
* | |||||
14. | Type of Reporting Person (See Instructions)
IN |
(*) | indicates less than one percent. |
(1) | As a result of the Stockholder Agreement described in Item 2, below, the Reporting Persons may be deemed to have shared voting power and shared dispositive power with respect to an aggregate of 2,858,309 shares of common stock deemed beneficial ly owned pursuant to Rule 13d-3 with respect to the matters covered by the Stockholder Agreement. Each of the Reporting Persons disclaims all beneficial ownership of all such shares except as set forth in Row 11. |
11
CUSIP No. 42234Q102
1. | Names of Reporting Persons.
Ronny Brown | |||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) (a) ☒ (b) ☐
| |||||
3. | SEC Use Only
| |||||
4. | Source of Funds (See Instructions)
OO, PF | |||||
5. | Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)
☐ | |||||
6. | Citizenship or Place of Organization
U.S.A. |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
7. | Sole Voting Power
53,639 | ||||
8. | Shared Voting Power
0 (1) | |||||
9. | Sole Dispositive Power
53,639 | |||||
10. | Shared Dispositive Power
0 (1) |
11. |
Aggregate Amount Beneficially Owned by Each Reporting Person
53,639 (1) | |||||
12. | Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) (2)
☒ | |||||
13. | Percent of Class Represented by Amount in Row (11)
* | |||||
14. | Type of Reporting Person (See Instructions)
IN |
(*) | indicates less than one percent. |
(1) | As a result of the Stockholder Agreement described in Item 2, below, the Reporting Persons may be deemed to have shared voting power and shared dispositive power with respect to an aggregate of 2,858,309 shares of common stock deemed beneficially owned pursuant to Rule 13d-3 with respect to the matters covered by the Stockholder Agreement. Each of the Reporting Persons disclaims all beneficial ownership of all such shares except as set forth in Row 11. |
12
CUSIP No. 42234Q102
1. | Names of Reporting Persons.
Robert D. Regnier | |||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) (a) ☒ (b) ☐
| |||||
3. | SEC Use Only
| |||||
4. | Source of Funds (See Instructions)
OO, PF | |||||
5. | Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)
☐ | |||||
6. | Citizenship or Place of Organization
U.S.A citizen; Kansas Trust; Kansas Partnerships |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
7. | Sole Voting Power
506,425 (1) | ||||
8. | Shared Voting Power
0 (2) | |||||
9. | Sole Dispositive Power
506,425 (1) | |||||
10. | Shared Dispositive Power
0 (2) |
11. |
Aggregate Amount Beneficially Owned by Each Reporting Person
506,425 (1) | |||||
12. | Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) (2)
☒ | |||||
13. | Percent of Class Represented by Amount in Row (11)
1.20% | |||||
14. | Type of Reporting Person (See Instructions)
IN, OO (Trust), PN |
(1) | Represents 354,625 shares of Common Stock held by the Robert D. Regnier Revocable Trust, for which Robert D. Regnier is the sole trustee with sole voting and dispositive power; 66,821 in an individual retirement account for the benefit of Robert D. Regnier; 29,242 shares of Common Stock held by the Robert & Ann Regnier Family Limited Partnership, for which Robert D. Regnier serves as general partner with sole voting and dispositive power; and 55,737 shares of Common Stock are held by the Robert D. Regnier Family Limited Partnership II, for which Robert D. Regnier serves as general partner with sole voting and dispositive power |
(2) | As a result of the Stockholder Agreement described in Item 2, below, the Reporting Persons may be deemed to have shared voting power and shared dispositive power with respect to an aggregate of 2,858,309 shares of common stock deemed beneficially owned pursuant to Rule 13d-3 with respect to the matters covered by the Stockholder Agreement. Each of the Reporting Persons disclaims all beneficial ownership of all such shares except as set forth in Row 11. |
13
CUSIP No. 42234Q102
1. | Names of Reporting Persons.
Ramesh C. Kapur, CHANDA Kapur & Seema Chand Kapur fbo
2020 Gift Trust UTD 10/29/2020 | |||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) (a) ☒ (b) ☐
| |||||
3. | SEC Use Only
| |||||
4. | Source of Funds (See Instructions)
OO, PF | |||||
5. | Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)
☐ | |||||
6. | Citizenship or Place of Organization
U.S.A citizen, Wisconsin Trust, Limited Partnership and Corporation |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
7. | Sole Voting Power
159,367 (1) | ||||
8. | Shared Voting Power
14,155 (1) (2) | |||||
9. | Sole Dispositive Power
159,367 (1) | |||||
10. | Shared Dispositive Power
14,155 (1) (2) |
11. |
Aggregate Amount Beneficially Owned by Each Reporting Person
173,522 (1)(2) | |||||
12. | Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) (2)
☒ | |||||
13. | Percent of Class Represented by Amount in Row (11)
* | |||||
14. | Type of Reporting Person (See Instructions)
IN, OO (Trust), PN |
* | Less than 1%. |
(1) | Includes 21,044 shares held by the Ramesh C. Kapur, CHANDA Kapur & Seema Chand Kapur fbo 2020 Gift Trust UTD 10/29/2020; 14,155 shares held by the reporting persons spouse; 135,323 shares held in RCK LP A Limited Partnership, an entity of which the reporting person serves as general partner and thereby holds sole voting power and sole dispositive power with respect to shares held by such entity, and 3,000 shares held by Kapur & Associates, Inc., a corporation of which the reporting person is an officer and director and thereby holds sole voting power and sole dispositive power with respect to shares held by such entity. |
(2) | As a result of the Stockholder Agreement described in Item 2, below, the Reporting Persons may be deemed to have shared voting power and shared dispositive power with respect to an aggregate of 2,858,309 shares of common stock deemed beneficially owned pursuant to Rule 13d-3 with respect to the matters covered by the Stockholder Agreement. Each of the Reporting Persons disclaims all beneficial ownership of all such shares except as set forth in Row 11. |
14
CUSIP No. 42234Q102
1. | Names of Reporting Persons.
Mike Mechenbier | |||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) (a) ☒ (b) ☐
| |||||
3. | SEC Use Only
| |||||
4. | Source of Funds (See Instructions)
OO, PF | |||||
5. | Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)
☐ | |||||
6. | Citizenship or Place of Organization
U.S.A citizen, New Mexico Trust |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
7. | Sole Voting Power
45,843 (1) | ||||
8. | Shared Voting Power
0 (2) | |||||
9. | Sole Dispositive Power
45,843 (1) | |||||
10. | Shared Dispositive Power
0 (2) |
11. |
Aggregate Amount Beneficially Owned by Each Reporting Person
45,843 (1)(2) | |||||
12. | Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) (2)
☒ | |||||
13. | Percent of Class Represented by Amount in Row (11)
* | |||||
14. | Type of Reporting Person (See Instructions)
IN, OO (Trust), PN |
* | Represents less than 1%. |
(1) | Includes 45,418 shares held by the Mike Mechenbier & Kathleen Mechenbier Trust UA dtd 3/18/1988, of which the reporting person serves as trustee and thereby exercises sole voting power and sole dispositive power, and 425 shares held by the reporting person individually. |
(2) | As a result of the Stockholder Agreement described in Item 2, below, the Reporting Persons may be deemed to have shared voting power and shared dispositive power with respect to an aggregate of 2,858,309 shares of common stock deemed beneficially owned pursuant to Rule 13d-3 with respect to the matters covered by the Stockholder Agreement. Each of the Reporting Persons disclaims all beneficial ownership of all such shares except as set forth in Row 11. |
15
CUSIP No. 42234Q102
1. | Names of Reporting Persons.
Shannon Himango | |||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) (a) ☒ (b) ☐
| |||||
3. | SEC Use Only
| |||||
4. | Source of Funds (See Instructions)
OO, PF | |||||
5. | Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)
☐ | |||||
6. | Citizenship or Place of Organization
U.S.A citizen, Minnesota Trust and Limited Partnership |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
7. | Sole Voting Power
86,293 | ||||
8. | Shared Voting Power
0 (1) | |||||
9. | Sole Dispositive Power
86,293 | |||||
10. | Shared Dispositive Power
0 (1) |
11. |
Aggregate Amount Beneficially Owned by Each Reporting Person
86,293 (1) | |||||
12. | Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) (2)
☒ | |||||
13. | Percent of Class Represented by Amount in Row (11)
* | |||||
14. | Type of Reporting Person (See Instructions)
IN, OO (Trust), PN |
* | Less than 1%. |
(1) | As a result of the Stockholder Agreement described in Item 2, below, the Reporting Persons may be deemed to have shared voting power and shared dispositive power with respect to an aggregate of 2,858,309 shares of common stock deemed beneficially owned pursuant to Rule 13d-3 with respect to the matters covered by the Stockholder Agreement. Each of the Reporting Persons disclaims all beneficial ownership of all such shares except as set forth in Row 11. |
16
CUSIP No. 42234Q102
1. | Names of Reporting Persons.
James Young | |||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) (a) ☒ (b) ☐
| |||||
3. | SEC Use Only
| |||||
4. | Source of Funds (See Instructions)
OO, PF | |||||
5. | Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)
☐ | |||||
6. | Citizenship or Place of Organization
U.S.A citizen, Minnesota Trust and Limited Partnership |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
7. | Sole Voting Power
15,000 | ||||
8. | Shared Voting Power
0 (1) | |||||
9. | Sole Dispositive Power
15,000 | |||||
10. | Shared Dispositive Power
0 (1) |
11. |
Aggregate Amount Beneficially Owned by Each Reporting Person
15,000 (1) | |||||
12. | Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) (2)
☒ | |||||
13. | Percent of Class Represented by Amount in Row (11)
* | |||||
14. | Type of Reporting Person (See Instructions)
IN, OO (Trust), PN |
* | Less than 1%. |
(1) | As a result of the Stockholder Agreement described in Item 2, below, the Reporting Persons may be deemed to have shared voting power and shared dispositive power with respect to an aggregate of 2,858,309 shares of common stock deemed beneficially owned pursuant to Rule 13d-3 with respect to the matters covered by the Stockholder Agreement. Each of the Reporting Persons disclaims all beneficial ownership of all such shares except as set forth in Row 11. |
17
CUSIP No. 42234Q102
1. | Names of Reporting Persons.
Ricky Green | |||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) (a) ☒ (b) ☐
| |||||
3. | SEC Use Only
| |||||
4. | Source of Funds (See Instructions)
OO, PF | |||||
5. | Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)
☐ | |||||
6. | Citizenship or Place of Organization
U.S.A citizen, Minnesota Trust and Limited Partnership |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
7. | Sole Voting Power
51,285 | ||||
8. | Shared Voting Power
0 (1) | |||||
9. | Sole Dispositive Power
51,285 | |||||
10. | Shared Dispositive Power
0 (1) |
11. |
Aggregate Amount Beneficially Owned by Each Reporting Person
51,285 (1) | |||||
12. | Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) (2)
☒ | |||||
13. | Percent of Class Represented by Amount in Row (11)
* | |||||
14. | Type of Reporting Person (See Instructions)
IN, OO (Trust), PN |
* | Less than 1%. |
(1) | As a result of the Stockholder Agreement described in Item 2, below, the Reporting Persons may be deemed to have shared voting power and shared dispositive power with respect to an aggregate of 2,858,309 shares of common stock deemed beneficially owned pursuant to Rule 13d-3 with respect to the matters covered by the Stockholder Agreement. Each of the Reporting Persons disclaims all beneficial ownership of all such shares except as set forth in Row 11. |
18
CUSIP No. 42234Q102
1. | Names of Reporting Persons.
Fred Locker | |||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) (a) ☒ (b) ☐
| |||||
3. | SEC Use Only
| |||||
4. | Source of Funds (See Instructions)
OO, PF | |||||
5. | Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)
☐ | |||||
6. | Citizenship or Place of Organization
U.S.A citizen, Minnesota Trust and Limited Partnership |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
7. | Sole Voting Power
62,697 | ||||
8. | Shared Voting Power
0 (1) | |||||
9. | Sole Dispositive Power
62,697 | |||||
10. | Shared Dispositive Power
0 (1) |
11. |
Aggregate Amount Beneficially Owned by Each Reporting Person
62,697 (1) | |||||
12. | Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) (2)
☒ | |||||
13. | Percent of Class Represented by Amount in Row (11)
* | |||||
14. | Type of Reporting Person (See Instructions)
IN, OO (Trust), PN |
* | Less than 1%. |
(1) | As a result of the Stockholder Agreement described in Item 2, below, the Reporting Persons may be deemed to have shared voting power and shared dispositive power with respect to an aggregate of 2,858,309 shares of common stock deemed beneficially owned pursuant to Rule 13d-3 with respect to the matters covered by the Stockholder Agreement. Each of the Reporting Persons disclaims all beneficial ownership of all such shares except as set forth in Row 11. |
19
CUSIP No. 42234Q102
1. | Names of Reporting Persons.
Gary Rothwell | |||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) (a) ☒ (b) ☐
| |||||
3. | SEC Use Only
| |||||
4. | Source of Funds (See Instructions)
OO, PF | |||||
5. | Check if Disclosure of Leg al Proceedings Is Required Pursuant to Items 2(d) or 2(e)
☐ | |||||
6. | Citizenship or Place of Organization
U.S.A citizen, Minnesota Trust and Limited Partnership |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
7. | Sole Voting Power
27,150 | ||||
8. | Shared Voting Power
0 (1) | |||||
9. | Sole Dispositive Power
27,150 | |||||
10. | Shared Dispositive Power
0 (1) |
11. |
Aggregate Amount Beneficially Owned by Each Reporting Person
27,150 (1) | |||||
12. | Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) (2)
☒ | |||||
13. | Percent of Class Represented by Amount in Row (11)
* | |||||
14. | Type of Reporting Person (See Instructions)
IN, OO (Trust), PN |
* | Less than 1%. |
(1) | As a result of the Stockholder Agreement described in Item 2, below, the Reporting Persons may be deemed to have shared voting power and shared dispositive power with respect to an aggregate of 2,858,309 shares of common stock deemed beneficially owned pursuant to Rule 13d-3 with respect to the matters covered by the Stockholder Agreement. Each of the Reporting Persons disclaims all beneficial ownership of all such shares except as set forth in Row 11. |
20
CUSIP No. 42234Q102
1. | Names of Reporting Persons.
John Benton | |||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) (a) ☒ (b) ☐
| |||||
3. | SEC Use Only
| |||||
4. | Source of Funds (See Instructions)
OO, PF | |||||
5. | Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)
☐ | |||||
6. | Citizenship or Place of Organization
U.S.A citizen, Minnesota Trust and Limited Partnership |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
7. | Sole Voting Power
1,575 | ||||
8. | Shared Voting Power
0 (1) | |||||
9. | Sole Dispositive Power
1,575 | |||||
10. | Shared Dispositive Power
0 (1) |
11. |
Aggregate Amount Beneficially Owned by Each Reporting Person
1,575 (1) | |||||
12. | Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) (2)
☒ | |||||
13. | Percent of Class Represented by Amount in Row (11)
* | |||||
14. | Type of Reporting Person (See Instructions)
IN, OO (Trust), PN |
* | Less than 1%. |
(1) | As a result of the Stockholder Agreement described in Item 2, below, the Reporting Persons may be deemed to have shared voting power and shared dispositive power with respect to an aggregate of 2,858,309 shares of common stock deemed beneficially owned pursuant to Rule 13d-3 with respect to the matters covered by the Stockholder Agreement. Each of the Reporting Persons disclaims all beneficial ownership of all such shares except as set forth in Row 11. |
21
CUSIP No. 42234Q102
1. | Names of Reporting Persons.
Duncan Burkholder, MD | |||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) (a) ☒ (b) ☐
| |||||
3. | SEC Use Only
| |||||
4. | Source of Funds (See Instructions)
OO, PF | |||||
5. | Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)
☐ | |||||
6. | Citizenship or Place of Organization
U.S.A citizen, Minnesota Trust and Limited Partnership |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
7. | Sole Voting Power
13,000 | ||||
8. | Shared Voting Power
0 (1) | |||||
9. | Sole Dispositive Power
13,000 | |||||
10. | Shared Dispositive Power
0 (1) |
11. |
Aggregate Amount Beneficially Owned by Each Reporting Person
13,000 (1) | |||||
12. | Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) (2)
☒ | |||||
13. | Percent of Class Represented by Amount in Row (11)
* | |||||
14. | Type of Reporting Person (See Instructions)
IN, OO (Trust), PN |
* | Less than 1%. |
(1) | As a result of the Stockholder Agreement described in Item 2, below, the Reporting Persons may be deemed to have shared voting power and shared dispositive power with respect to an aggregate of 2,858,309 shares of common stock deemed beneficially owned pursuant to Rule 13d-3 with respect to the matters covered by the Stockholder Agreement. Each of the Reporting Persons disclaims all beneficial ownership of all such shares except as set forth in Row 11. |
22
CUSIP No. 42234Q102
1. | Names of Reporting Persons.
John W. Cox, Jr. | |||||
2. | Check the Appropriate Box if a Member of a Group (See Instructions) (a) ☒ (b) ☐
| |||||
3. | SEC Use Only
| |||||
4. | Source of Funds (See Instructions)
OO, PF | |||||
5. | Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e)
☐ | |||||
6. | Citizenship or Place of Organization
U.S.A citizen |
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
7. | Sole Voting Power
1,160 | ||||
8. | Shared Voting Power
0 (1) | |||||
9. | Sole Dispositive Power
1,160 | |||||
10. | Shared Dispositive Power
0 (1) |
11. |
Aggregate Amount Beneficially Owned by Each Reporting Person
1,160 (1) | |||||
12. | Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) (2)
☒ | |||||
13. | Percent of Class Represented by Amount in Row (11)
* | |||||
14. | Type of Reporting Person (See Instructions)
IN |
(*) | indicates less than one percent. |
(1) | As a result of the Stockholder Agreement described in Item 2, below, the Reporting Persons may be deemed to have shared voting power and shared dispositive power with respect to an aggregate of 2,858,309 shares of common stock deemed beneficially owned pursuant to Rule 13d-3 with respect to the matters covered by the Stockholder Agreement. Each of the Reporting Persons disclaims all beneficial ownership of all such shares except as set forth in Row 11. |
23
SCHEDULE 13D
Explanatory Note: This Amendment No. 2 (this Amendment) amends and supplements that certain beneficial ownership report on Schedule 13D filed with the Commission on March 8, 2022 (the Schedule 13D), as amended by Amendment No. 1 filed on April 20, 2022, by the Reporting Persons identified therein. Except where the context plainly requires otherwise, references to the Schedule 13D shall describe the previous filing as amended hereby. The Reporting Persons are filing this Amendment to amend certain information described in Item 4 through 7 to reflect the termination of the Stockholder group for purposes of Section 13(d) of the Securities Exchange Act of 1934, as amended (the Exchange Act), effective December 14, 2022. Capitalized terms used herein and not defined shall have the meanings assigned in the Schedule 13D.
Item 4. Purpose of Transaction
Item 4 of the Schedule 13D is amended by appending the following information.
On December 14, 2022, the Reporting Persons and Heartland Financial USA, Inc., a Delaware corporation and a registered bank holding company (the Issuer), entered into an agreement (the Settlement Agreement) whereby, among other things, the Reporting Persons agreed to amend the Stockholder Agreement dated March 8, 2022 (the Stockholder Agreement), concurrently with the execution of the Settlement Agreement, to terminate substantially all of its provisions, including all provisions pertaining to voting, consultation, communication and designation of representatives, thereby dissolving the group for the purposes of Section 13(d) of the Exchange Act. Pursuant to the Settlement Agreement, Lynn B. Fuller resigned from the Board of Directors of the Issuer, effective immediately.
The Settlement Agreement imposes certain standstill restrictions on the Reporting Persons until the date that is fifteen (15) days prior to the deadline for the submission of stockholder proposals for the 2024 annual meeting of the Issuers stockholders pursuant to the Issuers Amended and Restated Bylaws. Each Reporting Person also agreed to release the Issuer and each of its present and former affiliates, associates, employees, officers, directors, managers, principals and subsidiaries and any of their advisors or agents acting or purporting to act on their behalf, from any and all claims, demands, causes of action, actions, suits, promises, damages, liabilities and judgments whatsoever, whether known or unknown, in law or equity, which such Reporting Person or its affiliate shall or may have for, upon or by reason of any matter, cause or thing against the Issuer or its subsidiaries pertaining to actions taken or omitted to be taken by the Issuer or its affiliates or its associates with respect to such Reporting Persons investment in the Issuer, the employment of such Reporting Person or its affiliates or associates with the Issuer or any of its subsidiaries, or such Reporting Persons service on the board of directors of the Issuer or any of its subsidiaries, in each case prior to the date of the Settlement Agreement.
In addition, the Issuer agreed to reimburse the Reporting Persons for their reasonable, documented out-of-pocket fees and expenses of legal and financial advisors to the Reporting Persons incurred in connection with the Reporting Persons involvement at the Issuer in their capacity as such through the date of the Settlement Agreement and agreed to release, subject to certain exceptions, each Reporting Person, and each of his, her or its present and former affiliates, associates, employees, officers, directors, managers, principals and subsidiaries and any of their advisors or agents acting or purporting to act on their behalf, from any and all claims, demands, causes of action, actions, suits, promises, damages, liabilities and judgments whatsoever, whether known or unknown, in law or equity, which the Issuer shall or may have for, upon or by reason of any matter, cause or thing against any Reporting Person pertaining to actions taken or omitted to be taken by such Reporting Person or its affiliates or associates in connection with such Reporting Persons investment in the Issuer, the employment of such Reporting Person or its affiliates or associates with the Issuer or any of its subsidiaries, or such Reporting Persons service on the board of directors of the Issuer or any of its subsidiaries, in each case prior to the date of the Settlement Agreement.
A copy of the Settlement Agreement and the amendment to the Stockholder Agreement (the Amendment) are attached hereto as Exhibits 99.3 and 99.4, respectively, and incorporated by reference herein. The foregoing descriptions of the Settlement Agreement and the Amendment are qualified in their entirety by reference to the full text of the Settlement Agreement and the Amendment, respectively.
24
Item 5. Interest in Securities of the Issuer
(a) and (b) As of the date hereof, the Reporting Persons hold, in the aggregate, approximately 2,858,309 shares or 6.73% of the outstanding common stock and combined voting power of the Issuers common stock, based on 42,444,820 issued and outstanding shares of common stock of the Issuer as of November 4, 2022, as reported by the Issuer on its Quarterly Report on Form 10-Q filed with the Securities and Exchange Commission on November 7, 2022, for the fiscal quarter ended September 30, 2022.
The aggregate number of shares and percentage of common stock outstanding beneficially owned by each Reporting Person and, for each Reporting Person, the number of shares of common stock as to which there is sole power to vote or to direct the vote, shared power to vote or to direct the vote, sole power to dispose or to direct the disposition, or shared power to dispose or to direct the disposition are set forth on Rows 7 through 11 and Row 13 of the cover pages of this Statement and are incorporated herein by reference and summarized in the following table.
Prior to the Amendment, as a result of the Stockholder Agreement, the Reporting Persons may have been deemed to possess shared voting power over, and therefore beneficially own for purposes of Rule 13d-3, up to an aggregate of 2,858,309 shares of common stock that are beneficially owned collectively by the parties to the Stockholder Agreement corresponding to each Reporting Person as set forth above in this Statement. All such shares that may have been deemed to be beneficially owned by the Reporting Persons constitute approximately 6.73% of the issued and outstanding common stock as of November 4, 2022.
Neither the filing of this Statement nor any of its contents shall be deemed to constitute an admission that any of the Reporting Persons is the beneficial owner of common stock referred to herein for purposes of Section 13(d) of the Exchange Act or for any other purpose. Each of the Reporting Persons disclaims beneficial ownership of all securities of the Issuer except to the extent of their several pecuniary interests therein. The filing of this statement does not constitute an admission that any Reporting Person is a member of a group for the purposes of Sections 13(d) of the Exchange Act.
The following table summarizes the beneficial ownership of the Issuers common stock by the Reporting Persons. For additional detail regarding sole voting and dispositive power, and shared voting and dispositive power of the shares beneficially owned by each Reporting Person listed below, see the cover pages to this Statement, which are incorporated into this Item 5 by reference.
Reporting Person |
Number of Shares of Common Stock Owned |
Percentage of Common Stock Outstanding (1) |
||||||
Lynn B. Fuller |
685,083 | (2) | 1.61 | % | ||||
Thomas J. Fuller |
132,671 | (3) | * | % | ||||
Cynthia A. Fuller |
11,000 | (4) | * | % | ||||
Barry H. Orr |
161,146 | (5) | * | % | ||||
Kathy Orr |
139,886 | (6) | * | % | ||||
Mary Lou Fuller |
374,863 | (7) | * | % | ||||
Kurt M. Saylor |
111,935 | (8) | * | % | ||||
Melissa J. Saylor |
46,311 | (9) | * | % | ||||
Thomas G. Richards |
76,654 | (10) | * | % | ||||
R. Bruce Orr |
55,085 | * | % | |||||
Barry Brown |
165,972 | * | % | |||||
Ronny Brown |
53,639 | * | % | |||||
Robert D. Regnier |
506,425 | (11) | 1.20 | % | ||||
Ramesh Kapur |
173,522 | (12) | * | % | ||||
Mike Mechenbier |
45,643 | (13) | * | % | ||||
Shannon Himango |
86,293 | * | % | |||||
James Young |
15,000 | * | % | |||||
Ricky Green |
51,285 | * | % |
25
Fred Locker |
62,697 | * | % | |||||
Gary Rothwell |
27,150 | * | % | |||||
Duncan Burkholder |
13,000 | |||||||
John Benton |
1,575 | * | % | |||||
John W. Cox, Jr |
1,160 | * | % | |||||
TOTAL (1) |
2,858,309 | 6.73 | % |
(*) | indicates less than one percent. |
(1) | Duplicate share amounts omitted from Total. Percentages rounded to the nearest 1/100th of one percent. |
(2) | Represents 12,188 shares of Common Stock held in a 401(k) retirement account for the benefit of Lynn B. Fuller; 12,788 shares of Common Stock held by the Lynn B. Fuller Trust Under Agreement Dated 5/7/1996, for which Lynn B. Fuller serves as sole trustee with sole voting and dispositive power; 92,669 shares of Common Stock held by the Lynn S. Fuller Family GST Trust Under Agreement Dated 9/19/91 (Lynn B. Fuller Trustee), over which shares Lynn B. Fuller has sole voting and dispositive power; 313,180 shares of Common Stock held by LBF Heartland Partnership LLLP, for which Lynn B. Fuller serves as general partner with sole voting and dispositive power; and 254,258 shares of Common Stock held by LBF Heartland Partnership II LLLP, for which Lynn B. Fuller serves as general partner with sole voting and dispositive power. As a Designated Representative under the Stockholder Agreement, Lynn B. Fuller may be deemed to have shared voting power over 2,858,309 shares of common stock to the extent directed by the beneficial owners of such shares pursuant to the terms of the agreement. He disclaims any pecuniary or dispositive interest over any of such shares except for the shares indicated on Rows 7 through 11 of his cover sheet to this Statement. |
(3) | Represents 132,472 shares of Common Stock held by the Thomas J. Fuller Trust Under Agreement Dated 02/26/2021 and 199 shares of Common Stock held by Thomas J. Fuller directly. Of these shares, 96,580 shares are pledged in a margin account. As a Designated Representative under the Stockholder Agreement, Thomas J. Fuller may be deemed to have shared voting power over 2,858,309 shares of common stock to the extent directed by the beneficial owners of such shares pursuant to the terms of the agreement. He disclaims any pecuniary or dispositive interest over any of such shares except for the shares indicated on Rows 7 through 11 of his cover sheet to this Statement. |
(4) | Represents 11,000 shares of Common Stock held by the Cynthia A. Fuller Trust under Agreement Dated 7/2/2015, for which Ms. Cynthia A. Fuller serves as sole trustee with sole voting and dispositive power. |
(5) | Represents 6,081 held directly by Barry H. Orr; 15,179 shares of Common Stock held in an Individual Retirement Account for the benefit of Barry H. Orr and 139,886 shares held by Barry H. Orr and his spouse, Kathy Orr, as joint tenants. |
(6) | Represents shares held by Kathy Orr and her spouse, Barry H. Orr, as joint tenants. |
(7) | Represents 282,193 shares of Common Stock held by the Mary Lou Fuller Trust Under Agreement Dated 7/24/2018, for which Mary Lou Fuller serves as sole trustee with sole voting and dispositive power, and 92,670 shares of Common Stock held by Mary Lou Fuller Trustee Lynn S. Fuller Family GST Trust FBO Mary Lou Fuller U/A 9/19/91 over which shares Mary Lou Fuller has sole voting and dispositive power. |
(8) | Represents 111,935 shares of Common Stock held by the Kurt M. Saylor Trust Under Agreement Dated 1/6/1998, for which Kurt M. Saylor is the trustee and has sole voting and dispositive power. |
(9) | Represents 46,311 shares of Common Stock held by the Melissa J. Saylor Trust Under Agreement Dated 1/6/1998, for which Melissa J. Saylor is the trustee and has sole voting and dispositive power. |
(10) | Represents 70,045 shares of Common Stock held by the Thomas G. Richards Living Trust, for which Thomas G. Richards serves as sole trustee with sole voting and dispositive power; 292 shares of Common Stock held by an individual retirement account for the benefit of Thomas G. Richards, and 6,317 shares held by Thomas G. Richards under the name Thomas Richards or Tom G. Richards. |
(11) | Represents 354,625 shares of Common Stock held by the Robert D. Regnier Revocable Trust, for which Robert D. Regnier is the sole trustee with sole voting and dispositive power; 66,821 in an individual retirement account for the benefit of Robert D. Regnier; 29,242 shares of Common Stock held by the Robert & Ann Regnier Family Limited Partnership, for which Robert D. Regnier serves as general partner with sole voting and dispositive power; and 55,737 shares of Common Stock are held by the Robert D. Regnier Family Limited Partnership II, for which Robert D. Regnier serves as general partner with sole voting and dispositive power. |
(12) | Represents 21,044 shares held by the Ramesh C. Kapur, CHANDA Kapur & Seema Chand Kapur fbo 2020 Gift Trust UTD 10/29/2020; 14,155 shares held by the reporting persons spouse; 135,323 shares held in RCK LP A Limited Partnership, an entity of which the reporting person serves as general partner and thereby holds sole voting power and sole dispositive power with respect to shares held by such entity, and 3,000 shares held by Kapur & Associates, Inc., a corporation of which the reporting person is an officer and director and thereby holds sole voting power and sole dispositive power with respect to shares held by such entity. |
(13) | Represents 45,418 shares held by the Mike Mechenbier & Kathleen Mechenbier Trust UA dtd 3/18/1988, of which the reporting person serves as trustee and thereby exercises sole voting power and sole dispositive power, and 425 shares held by the reporting person individually. |
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(c) Barry H. Orr sold an aggregate of 35,179 shares in the past 60 days, consisting of 15,179 shares from his IRA account and 20,000 shares jointly held with Kathy Orr. To the knowledge of the Reporting Persons, no other transactions in the class of securities reported have been effected during the past 60 days by any person named in Item 5(a).
(d) Other than described above, no other person is known to have the right to receive and the power to direct the receipt of dividends from, or the proceeds from the sale of, the common stock beneficially owned by the Reporting Persons.
(e) Not applicable.
Item 6. Contracts, Arrangements, Understandings and Relationships With Respect to Securities of the Issuer.
The information set forth or incorporated in Item 4 and Item 5 of this Statement is hereby incorporated by reference. Item 6 of the Schedule 13D is amended by appending the following information. As described above, effective December 14, 2022, the Reporting Persons entered into the Amendment to, among other things, terminate all the provisions pertaining to voting, consultation, communication and designation of representatives. The Amendment retains provisions pertaining to indemnification of designated representatives and reimbursement of expenses. Concurrently with the Amendment, the Reporting Persons also entered into Settlement Agreement with the Issuer, as described above.
Other than the matters disclosed in this Statement, none of the Reporting Persons is party to any contracts, arrangements, understandings, or relationships with respect to any securities of the Issuer, including but not limited to the transfer or voting of any of the securities, finders fees, joint ventures, loan or option agreements, puts or calls, guarantees of profits, division of profits or loss, or the giving or withholding of proxies.
This Item 6 (and other Items of this Statement) does not provide a complete description of the Settlement Agreement and the Amendment, and such description is qualified in its entirety by reference to the full text of the Settlement Agreement and the Amendment, respectively, which are attached hereto as Exhibits 99.3 and 99.4, respectively, and incorporated by reference in this Item 6.
Item 7. Material to be Filed as Exhibits
Exhibit | Description | |
99.1 | Stockholder Agreement* | |
99.2 | Form of Joinder to Stockholder Agreement* | |
99.3 | Settlement Agreement, dated December 14, 2022, by and between the Issuer and the Reporting Persons | |
99.4 | First Amendment to the Stockholder Agreement, dated December 14, 2022 | |
24.1 | Agreement Regarding Joint Filing and Form of Power of Attorney |
* | Previously Filed. |
| Included in Exhibit 99.1. |
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SIGNATURES
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
Dated: December 16, 2022
| Denotes signatures by Thomas J. Fuller, attorney in fact |
LYNN B. FULLER | ||
/s/ Lynn B. Fuller | ||
Name: | Lynn B. Fuller | |
Title: | Member | |
LYNN B. FULLER TRUST UNDER AGREEMENT DATED 5/7/1996 |
By: | /s/ Lynn B. Fuller | |
Name: | Lynn B. Fuller | |
Title: | Trustee | |
LYNN S. FULLER FAMILY GST TRUST (Lynn B. Fuller Trustee) |
By: | /s/ Lynn B. Fuller | |
Name: | Lynn B. Fuller | |
Title: | Trustee | |
LBF HEARTLAND PARTNERSHIP L.L.L.P. | ||
By: | /s/ Lynn B. Fuller | |
Name: | Lynn B. Fuller | |
Title: | General Partner | |
LBF HEARTLAND PARTNERSHIP II L.L.L.P. |
By: | /s/ Lynn B. Fuller | |
Name: | Lynn B. Fuller | |
Title: | General Partner | |
THOMAS J. FULLER | ||
/s/ Thomas J. Fuller | ||
Name: | Thomas J. Fuller | |
Title: | Member | |
THOMAS J. FULLER TRUST UNDER AGREEMENT DATED 2/26/2021 | ||
By: | /s/ Thomas J. Fuller | |
Name: | Thomas J. Fuller | |
Title: | Trustee |
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CYNTHIA A. FULLER | ||
/s/ Cynthia A. Fuller | ||
Name: | Cynthia A. Fuller | |
Title: | Member | |
CYNTHIA A. FULLER TRUST UNDER AGREEMENT DATED 7/2/2015 |
By: | /s/ Cynthia A. Fuller | |
Name: | Cynthia A. Fuller | |
Title: | Trustee | |
BARRY H. ORR | ||
/s/ Barry H. Orr | ||
Name: | Barry H. Orr | |
Title: | Member | |
KATHY ORR | ||
/s/ Kathy Orr | ||
Name: | Kathy Orr | |
Title: | Member | |
MARY LOU FULLER | ||
/s/ Mary Lou Fuller | ||
Name: | Mary Lou Fuller | |
Title: | Member | |
MARY LOU FULLER TRUST UNDER AGREEMENT DATED 7/24/2018 |
By: | /s/ Mary Lou Fuller | |
Name: | Mary Lou Fuller | |
Title: | Trustee | |
MARY LOU FULLER TRUSTEE LYNN S. FULLER FAMILY GST TRUST FBO MARY LOU FULLER U/A 9/19/91 |
By: | /s/ Mary Lou Fuller | |
Name: | Mary Lou Fuller | |
Title: | Trustee | |
KURT M. SAYLOR | ||
/s/ Kurt M. Saylor | ||
Name: | Kurt M. Saylor | |
Title: | Member |
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KURT M. SAYLOR TRUST UNDER AGREEMENT DATED 1/6/1998 |
By: | /s/ Kurt M. Saylor | |
Name: | Kurt M. Saylor | |
Title: | Trustee | |
MELISSA J. SAYLOR | ||
/s/ Melissa J. Saylor | ||
Name: | Melissa J. Saylor | |
Title: | Member | |
MELISSA J. SAYLOR TRUST UNDER AGREEMENT DATED 1/6/1998 |
By: | /s/ Melissa J. Saylor | |
Name: | Melissa J. Saylor | |
Title: | Trustee | |
THOMAS G. RICHARDS | ||
/s/ Thomas G. Richards | ||
Name: | Thomas G. Richards | |
Title: | Member | |
< b>THOMAS G. RICHARDS LIVING TRUST |
By: | /s/ Thomas G. Richards | |
Name: | Thomas G. Richards | |
Title: | Trustee | |
R. BRUCE ORR | ||
/s/ R. Bruce Orr | ||
Name: R. Bruce Orr | ||
Title: Member | ||
BARRY BROWN | ||
/s/ Barry Brown | ||
Name: Barry Brown | ||
Title: Member | ||
RONNY BROWN | ||
/s/ Ronny Brown | ||
Name: Ronny Brown | ||
Title: Member | ||
ROBERT D. REGNIER | ||
/s/ Robert D. Regnier | ||
Name: Robert D. Regnier | ||
Title: Member |
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ROBERT D. REGNIER REVOCABLE TRUST |
By: | /s/ Robert D. Regnier | |
Name: | Robert D. Regnier | |
Title: | Trustee | |
ROBERT & ANN REGNIER FAMILY LIMITED PARTNERSHIP |
By: | /s/ Robert D. Regnier | |
Name: | Robert D. Regnier | |
Title: | General Partner | |
REGNIER FAMILY LIMITED PARTNERSHIP II |
By: | /s/ Robert D. Regnier | |
Name: | Robert D. Regnier | |
Title: | General Partner | |
RAMESH KAPUR | ||
/s/ Ramish C. Kapur | ||
Name: Ramish C. Kapur | ||
Title: Individual | ||
RAMESH C. KAPUR, CHANDA KAPUR & SEEMA CHAND KAPUR FBO 2020 GIFT TRUST UTD 10/29/2020 |
By: | /s/ Ramesh C. Kapur | |
Name: | Ramesh C. Kapur | |
Title: | Trustee | |
RCK LP A LIMITED PARTNERSHIP |
By: | /s/ Ramesh C. Kapur | |
Name: | Ramesh C. Kapur | |
Title: | General Partner | |
KAPUR & ASSOCIATES, INC. |
By: | /s/ Ramesh C. Kapur | |
Name: | Ramesh C. Kapur | |
Title: | President | |
MIKE MECHENBIER | ||
/s/ Mike Mechenbier | ||
Name: Mike Mechenbier | ||
Title: Individual |
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MIKE MECHENBIER & KATHLEEN MECHENBIER TRUST UTD 3/18/1988 |
/s/ Mike Mechenbier |
Name: Mike Mechenbier |
Title: Trustee |
SHANNON HIMANGO |
/s/ Shannon Himango |
Name: Shannon Himango |
Title: Individual |
JAMES YOUNG |
/s/ James Young |
Name: James Young |
Title: Individual |
RICKY GREEN |
/s/ Ricky Green |
Name: Ricky Green |
Title: Individual |
FRED LOCKER |
/s/ Fred Locker |
Name: Fred Locker |
Title: Individual |
GARY ROTHWELL |
/s/ Gary Rothwell |
Name: Gary Rothwell |
Title: Individual |
JOHN BENTON |
/s/ John Benton |
Name: John Benton |
Title: Individual |
DUNCAN BURKHOLDER, MD |
/s/ Duncan Burkholder |
Name: Duncan Burkholder, MD |
Title: Individual |
JOHN W. COX, JR. |
/s/ John W. Cox, Jr. |
Name: John W. Cox, Jr. |
Title: Individual |
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