0000906465-12-000078.txt : 20121130 0000906465-12-000078.hdr.sgml : 20121130 20121130142632 ACCESSION NUMBER: 0000906465-12-000078 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121130 FILED AS OF DATE: 20121130 DATE AS OF CHANGE: 20121130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sorensen Donna J. CENTRAL INDEX KEY: 0001463784 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22208 FILM NUMBER: 121234182 MAIL ADDRESS: STREET 1: 59 ACORN CT. CITY: IOWA CITY STATE: IA ZIP: 52246 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 2012-11-30 0 0000906465 QCR HOLDINGS INC QCRH 0001463784 Sorensen Donna J. 59 ACORN CT. IOWA CITY IA 52246 1 0 0 0 Common Stock 2012-11-30 4 X 0 500 10 A 9625 D Common Stock 11207.77 I by Trust Common Stock Warrants (right to buy) 10 2012-11-30 4 X 0 500 0 D 2011-03-19 2015-03-19 Common Stock 500 0 D By: Rick J. Jennings For: Donna Sorensen 2012-11-30