-----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, STtVSc8eLBtnC4aWazfRGr1HItvBLz8qA/CzCdxZGNUlqH3DnH7eve8C1S+BITIS Oy1DK/IDmXVHqe0hVmnFvQ== 0000906465-04-000029.txt : 20040206 0000906465-04-000029.hdr.sgml : 20040206 20040206112905 ACCESSION NUMBER: 0000906465-04-000029 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040205 FILED AS OF DATE: 20040206 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HULTQUIST DOUGLAS M CENTRAL INDEX KEY: 0001222103 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22208 FILM NUMBER: 04572304 BUSINESS ADDRESS: STREET 1: QCR HOLDINGS INC. STREET 2: 3551 7TH STREET CITY: MOLINE STATE: IL ZIP: 61265 4 1 edgardoc.xml PRIMARY DOCUMENT X0201 4 2004-02-05 0 0000906465 QCR HOLDINGS INC QCRH 0001222103 HULTQUIST DOUGLAS M 3551 7TH STREET SUITE 100 MOLINE IL 61265 1 1 0 0 President, QCR Holdings Common Stock 2004-02-05 4 I 0 1000 30.08 D 21390 D Common Stock 1500 I by Daughter Common Stock 2700 I by IRA Common Stock 2955.01 I by Managed Account Common Stock 4725 I by Spouse Common Stock 4901.52 I by Trust Indirect beneficial ownership of 500 shares each by custodian for two daughters. Indirect beneficial ownership by 401 (k) plan. Indirect beneficial ownership by QCHI Deferred Income Trust. By: Rick J Jennings For: Douglas M Hultquist 2004-02-05 -----END PRIVACY-ENHANCED MESSAGE-----