-----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, OQkmx8fCjHffXWOYaI6G6/aXoFCS1HF0MBp2+/Z1yOVFKMgVciL+sWarog8pqhkx Xtdyi3tZbyUA0mNHjCdjjA== 0000906465-04-000137.txt : 20041105 0000906465-04-000137.hdr.sgml : 20041105 20041105125328 ACCESSION NUMBER: 0000906465-04-000137 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041105 FILED AS OF DATE: 20041105 DATE AS OF CHANGE: 20041105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: PETERSON RONALD CENTRAL INDEX KEY: 0001222104 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22208 FILM NUMBER: 041121960 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 X0202 4 2004-11-05 0 0000906465 QCR HOLDINGS INC QCRH 0001222104 PETERSON RONALD 3551 7TH STREET SUITE 100 MOLINE IL 61265 1 0 0 0 Common Stock 2004-11-04 4 I 0 475.64 18.41 A 8459.48 I by Trust Common Stock 3375 I by Managed Account Indirect beneficial ownership by QCHI Deferred Income Trust. Indirect beneficial ownership by 401 (k) plan. By: Rick J. Jennings For: Ronald G. Peterson 2004-11-05 -----END PRIVACY-ENHANCED MESSAGE-----