-----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, GJ/04dAT7LnfoFhAZ/J0sbh8XAmpaSccN3VLfMnyp48M66edGxQW/2Hb/MocQM/T w22wiKz2o8m4LSrW5BvsgA== 0000906465-04-000140.txt : 20041105 0000906465-04-000140.hdr.sgml : 20041105 20041105125612 ACCESSION NUMBER: 0000906465-04-000140 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: KILMER MARK C CENTRAL INDEX KEY: 0001288227 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22208 FILM NUMBER: 041121971 MAIL ADDRESS: STREET 1: 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 0001288227 KILMER MARK C 2345 FAIRHAVEN ROAD DAVENPORT IA 52803 1 0 0 0 Common Stock 2004-11-04 4 I 0 316.5 18.41 A 4783.32 I by Managed Account Common Stock 765 I by Daughter Common Stock 3375 I by IRA Common Stock 382 I by Son Common Stock 3937 I by Spouse Common Stock 12000 I by Trust Indirect beneficial ownership by QCHI Deferred Income Trust. Indirect beneficial ownership by IRA. By: Rick J. Jennings For: Mark C. Kilmer 2004-11-05 -----END PRIVACY-ENHANCED MESSAGE-----