-----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, BKGPxdbndFNmy6Y/Rrnw98k4Tlcqo5OBRjGVCwlvlHEAMehM56oJkf9gZb5KQ08W w3fmaPtxn8R8qcQCvO9eWA== 0000906465-04-000138.txt : 20041105 0000906465-04-000138.hdr.sgml : 20041105 20041105125423 ACCESSION NUMBER: 0000906465-04-000138 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: Lipsky Ann CENTRAL INDEX KEY: 0001295204 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22208 FILM NUMBER: 041121964 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 4 1 edgardoc.xml PRIMARY DOCUMENT X0202 4 2004-11-05 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 2004-11-04 4 I 0 181.46 18.41 A 1294.24 I by Trust Common Stock 7534.58 I by Corporation Indirect beneficial ownership by QCHI Deferred Income Trust. By: Rick J. Jennings For: Ann M. Lipsky 2004-11-05 -----END PRIVACY-ENHANCED MESSAGE-----