-----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, VvC6SxWVugaiX4CUkq6hAPzS2bO869js9S0NbYv4VZW6XuqF4MIlzVU2+Q2MjZPR TvyHYnxmZ+mrylqINVu1IQ== 0000906465-04-000084.txt : 20040511 0000906465-04-000084.hdr.sgml : 20040511 20040511134431 ACCESSION NUMBER: 0000906465-04-000084 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040507 FILED AS OF DATE: 20040511 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KILMER MARK C CENTRAL INDEX KEY: 0001288227 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22208 FILM NUMBER: 04795808 MAIL ADDRESS: STREET 1: 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 3 1 edgardoc.xml PRIMARY DOCUMENT X0202 3 2004-05-07 0 0000906465 QCR HOLDINGS INC QCRH 0001288227 KILMER MARK C 2345 FAIRHAVEN ROAD DAVENPORT IA 52803 1 0 0 0 Common Stock 510 I by Daughter Common Stock 2250 I by IRA Common Stock 2977.88 I by Managed Account Common Stock 255 I by Son Common Stock 2625 I by Spouse Common Stock 8000 I by Trust Non-Qualified Stock Option (right to buy) 8.83 2006-06-28 Common Stock 300 D Non-Qualified Stock Option (right to buy) 10.35 2011-06-29 Common Stock 100 D Non-Qualified Stock Option (right to buy) 14.8 2012-06-28 Common Stock 100 D Non-Qualified Stock Option (right to buy) 16.125 2010-06-30 Common Stock 100 D Non-Qualified Stock Option (right to buy) 17.75 2009-06-30 Common Stock 100 D Non-Qualified Stock Option (right to buy) 20 2013-06-30 Common Stock 100 D Non-Qualified Stock Option (right to buy) 21.33 2008-06-30 Common Stock 150 D Non-Qualified Stock Option (right to buy) 28 2014-01-02 Common Stock 100 D Indirect beneficial ownership by IRA. Indirect beneficial ownership by QCHI Deferred Income Trust. 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: Mark C Kilmer 2004-05-07 -----END PRIVACY-ENHANCED MESSAGE-----