-----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, RvQ46MTB4CkoNKIGMNqfZe9GoqbpCS+CBPLoZTNOJwwFWNu9Yree7XMT14lpukqx RCm8ey6VE9qhoDOJ4Z9Q4g== 0000906465-05-000022.txt : 20050215 0000906465-05-000022.hdr.sgml : 20050215 20050215194427 ACCESSION NUMBER: 0000906465-05-000022 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050215 DATE AS OF CHANGE: 20050215 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HULTQUIST DOUGLAS M CENTRAL INDEX KEY: 0001222103 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22208 FILM NUMBER: 05618817 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 5 1 edgardoc.xml PRIMARY DOCUMENT X0202 5 2004-12-31 0 0 0 0000906465 QCR HOLDINGS INC QCRH 0001222103 HULTQUIST DOUGLAS M 3551 7TH STREET SUITE 100 MOLINE IL 61265 1 1 0 0 President, QCR Holdings Common Stock 2004-12-31 5 P 0 62 20.85 A 30960 D Common Stock 2004-12-31 5 J 0 147.73 20.85 D 3843.8 I by Managed Account Common Stock 2004-12-31 5 P 0 301.21 20.85 A 8493.175 I by Trust Common Stock 2250 I by Daughter Common Stock 4050 I by IRA Common Stock 7087 I by Spouse Stock Appreciation Rights 9.11 2004-12-31 5 M 0 4500 28.07 D 2007-06-30 Common Stock 4500 6750 D Aquisition pursuant to Employee Stock Purchase Plan - exempt. Indirect beneficial ownership by 401 (k) plan. Indirect beneficial ownership of 500 shares each by custodian for two daughters. 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: Douglas M. Hultquist 2005-02-15 -----END PRIVACY-ENHANCED MESSAGE-----