0000906465-12-000047.txt : 20120320 0000906465-12-000047.hdr.sgml : 20120320 20120320162233 ACCESSION NUMBER: 0000906465-12-000047 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100104 FILED AS OF DATE: 20120320 DATE AS OF CHANGE: 20120320 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: 12703713 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 2010-01-04 0 0000906465 QCR HOLDINGS INC QCRH 0001222104 PETERSON RONALD 3551 7TH STREET SUITE 100 MOLINE IL 61265 1 0 0 0 Common Stock 2010-01-04 4 P 0 342 10.5 A 1692 D Common Stock 2000 I by IRA Common Stock 3375 I by Managed Account Common Stock 18122.95 I by Trust The reporting person received a disbursement of 342 shares upon the death of his mother, which was inadvertently omitted from the number of shares reported on previous Form 4s filed. Indirect beneficial ownership by 401 (k) plan By: Rick J. Jennings For: Ronald G. Peterson 2012-03-20