0000906465-12-000077.txt : 20121129 0000906465-12-000077.hdr.sgml : 20121129 20121129094203 ACCESSION NUMBER: 0000906465-12-000077 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121128 FILED AS OF DATE: 20121129 DATE AS OF CHANGE: 20121129 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: 121230481 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 2012-11-28 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 2012-11-28 4 X 0 500 10 A 4550 I by IRA Common Stock 51518 D Common Stock 2250 I by Daughter Common Stock 17049.87 I by Managed Account Common Stock 9087 I by Spouse Common Stock 26594.295 I by Trust Common Stock Warrants (right to buy) 10 2012-11-28 4 X 0 500 0 D 2011-03-19 2015-03-19 Common Stock 500 0 I by IRA Indirect beneficial ownership of 500 shares each by custodian for two daughters. By: Rick J. Jennings For: Douglas M. Hultquist 2012-11-29