-----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, VnqmxC8eksno8hgYYXrDXCJ/mxO9p8O+RIU0LRFGj5HByvAu7rCNIKYWrKsOEjiB 6N+kQl+d3MtdrJdiqsmFtg== 0000906465-04-000109.txt : 20040629 0000906465-04-000109.hdr.sgml : 20040629 20040629114425 ACCESSION NUMBER: 0000906465-04-000109 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040629 FILED AS OF DATE: 20040629 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GIPPLE TODD A CENTRAL INDEX KEY: 0001218394 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22208 FILM NUMBER: 04887417 BUSINESS ADDRESS: STREET 1: 3551 7TH ST STREET 2: STE 204 CITY: MOLINE STATE: IL ZIP: 71265 BUSINESS PHONE: 3097363580 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 X0202 4 2004-06-29 0 0000906465 QCR HOLDINGS INC QCRH 0001218394 GIPPLE TODD A 3551 7TH STREET SUITE 100 MOLINE IL 61265 0 1 0 0 Exec.V.P. and CFO, QCR Holding Common Stock 2004-06-29 4 I 0 3.79 27.48 A 1701.91 I by Managed Account Common Stock 9421 D Common Stock 14722 I by IRA Common Stock 300 I by Son Common Stock 1500 I by Spouse Common Stock 9.765 I by Trust Indirect beneficial ownership by 401 (k) plan. Indirect beneficial ownership by IRA. Indirect beneficial ownership by custodian for son. Indirect beneficial ownership by spouse's IRA. Indirect beneficial ownership by QCHI Deferred Income Trust. By: Rick J Jennings For: Todd A Gipple 2004-06-29 -----END PRIVACY-ENHANCED MESSAGE-----