0000906465-12-000073.txt : 20121116 0000906465-12-000073.hdr.sgml : 20121116 20121116170607 ACCESSION NUMBER: 0000906465-12-000073 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121115 FILED AS OF DATE: 20121116 DATE AS OF CHANGE: 20121116 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: 121212383 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 X0306 4 2012-11-15 0 0000906465 QCR HOLDINGS INC QCRH 0001288227 KILMER MARK C 2345 FAIRHAVEN ROAD DAVENPORT IA 52803 1 0 0 0 Common Stock 2012-11-15 4 X 0 500 10 A 3250 D Common Stock 5001 I by Daughter Common Stock 3375 I by IRA Common Stock 22776.22 I by Managed Account Common Stock 2500 I by Son Common Stock 3937 I by Spouse Common Stock 24425 I by Trust Common Stock Warrants (right to buy) 10 2012-11-15 4 X 0 500 0 D 2011-03-19 2015-03-19 Common Stock 500 0 D Indirect beneficial ownership by IRA. By: Rick J. Jennings For: Mark C. Kilmer 2012-11-16