0000906465-12-000006.txt : 20120203 0000906465-12-000006.hdr.sgml : 20120203 20120203182122 ACCESSION NUMBER: 0000906465-12-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120201 FILED AS OF DATE: 20120203 DATE AS OF CHANGE: 20120203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HULTQUIST DOUGLAS M CENTRAL INDEX KEY: 0001222103 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22208 FILM NUMBER: 12571520 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 X0304 4 2012-02-01 0 0000906465 QCR HOLDINGS INC QCRH 0001222103 HULTQUIST DOUGLAS M 3551 7TH STREET SUITE 100 MOLINE IL 61265 1 1 0 0 President & CEO Common Stock 2012-02-01 4 A 0 2532 9.301 A 39725 D Common Stock 2012-02-01 4 A 0 11087 9.301 A 50812 D Common Stock 2250 I by Daughter Common Stock 4050 I by IRA Common Stock 16318.74 I by Managed Account Common Stock 9087 I by Spouse Common Stock 26505.575 I by Trust Non-Qualified Stock Option (right to buy) 9.301 2012-02-01 4 A 0 8441 9.301 A 2013-02-01 2022-02-01 Common Stock 8441 8441 D The terms of the restricted stock award include certain restrictions that may be applicable to the reporting person to the extent necessary to ensure that the award complies with the limitations on compensation to which the Issuer was subject to as a result of its participation in the TARP Capital Purchase Program of the U.S. Department of the Treasury. These restrictions, to the extent applicable, could affect the vesting of the award and transferability of the underlying shares. Indirect beneficial ownership of 500 shares each by custodian for two daughters. By: Rick J. Jennings For: Douglas M. Hultquist 2012-02-03