-----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, Sc97b4YgLBFqIWbXtDWoDkavGwRMZHHPo/KhvX4H7aEEwRBkFDCnaU8bnhd1suCN 5T0UlJcole7RtTpom8lhsg== 0000906465-04-000069.txt : 20040415 0000906465-04-000069.hdr.sgml : 20040415 20040415121126 ACCESSION NUMBER: 0000906465-04-000069 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040415 FILED AS OF DATE: 20040415 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: 04735203 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 2004-04-15 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 2004-04-15 4 I 0 156.41 28.5 A 5057.93 I by Trust Common Stock 20508 D Common Stock 1500 I by Daughter Common Stock 2700 I by IRA Common Stock 2661.02 I by Managed Account Common Stock 4725 I by Spouse Indirect beneficial ownership by QCHI Deferred Income Trust. Indirect beneficial ownership of 500 shares each by custodian for two daughters. Indirect beneficial ownership by 401 (k) plan. By: Rick J Jennings For: Douglas M Hultquist 2004-04-15 -----END PRIVACY-ENHANCED MESSAGE-----