-----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, H9gfJ9QiSO8s5l84qsvHVzFpc1V1l2RnbWW2pNQRl6v4miMpbqsIE0ZRW4BYXVyS SJx+4ZoiWmfdWLMn5BUyAA== 0000906465-04-000104.txt : 20040629 0000906465-04-000104.hdr.sgml : 20040629 20040629110012 ACCESSION NUMBER: 0000906465-04-000104 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: Christoffersen Arthur CENTRAL INDEX KEY: 0001295214 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22208 FILM NUMBER: 04887176 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 0001295214 Christoffersen Arthur 3187 FEATHER RIDGE RD. TODDVILLE IA 52341-9734 1 0 0 0 Common Stock 4500 D Common Stock 885.46 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: Arthur Christoffersen 2004-06-29 -----END PRIVACY-ENHANCED MESSAGE-----