-----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, J8c8pDMpb7NVzRMtgPP1FlLVWbvALYzIdSjrngn2wBEQVtTbqJbs+lQEbX1tsnt5 7U+6uXJDNfa3d8G0Pz51ow== 0000906465-04-000102.txt : 20040629 0000906465-04-000102.hdr.sgml : 20040629 20040629105626 ACCESSION NUMBER: 0000906465-04-000102 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040629 FILED AS OF DATE: 20040629 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lipsky Ann CENTRAL INDEX KEY: 0001295204 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22208 FILM NUMBER: 04887167 BUSINESS ADDRESS: BUSINESS PHONE: 309-743-7763 MAIL ADDRESS: STREET 1: 3551 7 STREET SUITE 100 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 2004-06-29 0 0000906465 QCR HOLDINGS INC QCRH 0001295204 Lipsky Ann 3500 COTTAGE GROVE AVE SE CEDAR RAPIDS IA 52403-1651 1 0 0 0 Common Stock 7534.58 I by Corporation Common Stock 1112.78 I by Trust Non-Qualified Stock Option (right to buy) 9.867 2012-06-28 Common Stock 300 D Non-Qualified Stock Option (right to buy) 18.667 2014-01-02 Common Stock 150 D 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: Ann M Lipsky 2004-06-29 -----END PRIVACY-ENHANCED MESSAGE-----