-----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, FYv5ztPLYIJLEWz3UU4kySgZd1OwOUMPYMPXkd8rQv29zLjuzfYJN89ALfiyupg6 Jsre+v8QKM+HJIFBkrWnYw== 0000906465-04-000013.txt : 20040126 0000906465-04-000013.hdr.sgml : 20040126 20040126124001 ACCESSION NUMBER: 0000906465-04-000013 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040126 FILED AS OF DATE: 20040126 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PETERSON RONALD CENTRAL INDEX KEY: 0001222104 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22208 FILM NUMBER: 04542757 BUSINESS ADDRESS: STREET 1: QCR HOLDINGS INC. STREET 2: 3551 7TH STREET CITY: MOLINE STATE: IL ZIP: 61265 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: QCR HOLDINGS INC CENTRAL INDEX KEY: 0000906465 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 421397595 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3551 7TH STREET CITY: MOLINE STATE: IL ZIP: 61265 BUSINESS PHONE: 3097363580 MAIL ADDRESS: STREET 1: 3551 7TH STREET CITY: MOLINE STATE: IL ZIP: 61265 FORMER COMPANY: FORMER CONFORMED NAME: QUAD CITY HOLDINGS INC DATE OF NAME CHANGE: 19930805 4 1 edgardoc.xml PRIMARY DOCUMENT X0201 4 2004-01-26 0 0000906465 QCR HOLDINGS INC QCRH 0001222104 PETERSON RONALD 3551 7TH STREET SUITE 100 MOLINE IL 61265 1 0 0 0 Common Stock 2004-01-23 4 I 0 450.35 23.43 A 5148.86 I by Trust Common Stock 2250 I by Managed Account Non-Qualified Stock Option (right to buy) 20 2004-01-23 4 A 0 100 20 A 2014-01-22 Common Stock 100 100 D Non-Qualified Stock Option (right to buy) 20 2004-01-23 4 A 0 100 20 A 2014-01-22 Common Stock 100 200 D Indirect beneficial ownership by QCHI Deferred Income Trust. Indirect beneficial ownership by 401 (k) plan. These options are exercisable in annual increments of 20% each, with the first 20% vesting on the first anniversary of the option grant. By: Rick J Jennings For: Ronald G Peterson 2004-01-26 -----END PRIVACY-ENHANCED MESSAGE-----