EX-99 3 qcproxycard.txt PROXY QUAD CITY HOLDINGS, INC. PROXY Proxy is Solicited By the Board of Directors For the Annual Meeting of Stockholders - October 24, 2001 The undersigned hereby appoints Michael A. Bauer, James J. Brownson and Douglas M. Hultquist, or any of them acting in the absence of the others, with power of substitution, attorneys and proxies, for and in the name and place of the undersigned, to vote the number of shares of common stock that the undersigned would be entitled to vote if then personally present at the annual meeting of stockholders of Quad City Holdings, Inc., to be held at The Mark of the Quad Cities, 1201 River Drive, Moline, Illinois 61201, on Wednesday, October 24, 2001, at 10:00 a.m., local time, or any adjournments or postponements of the meeting, upon the matters set forth in the notice of annual meeting and proxy statement (receipt of which is hereby acknowledged) as designated on the reverse side, and in their discretion, the proxies are authorized to vote upon such other business as may come before the meeting. ____ Check here for address change. ____ Check here if you plan to attend the meeting. New Address: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ (Continued and to be signed on reverse side.) 1. Nominees: Douglas M. Hultquist, 2. Approve an Amendment to John W. Schricker and Article I of the Certificate of Larry J. Helling Incorporation to change the name of the Company Mark "For" to enroll this account to receive certain future stockholder communications in a single package per household. Mark "Against" if you do not want to participate. You may revoke your enrollment in the program at any time. Please see the accompanying proxy statement for more information about this election This proxy when properly executed will be voted in the manner directed herein by the undersigned stockholder. If no direction is made, this proxy will be voted FOR Proposals 1 and 2. Dated: _______________________, 2001 Signatures: _______________________ _______________________ Please date proxy and sign it exactly as name appears hereon. Joint owners should each sign personally. Executors, trustees, etc., should indicate their titles when signing.