SEC Form 5 · accession 0000906465-15-000021

QCR HOLDINGS INC · QCRH

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director

Period of report

Dec 31, 2014

Accepted (ET)

Feb 17, 2015 · 4:25 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0000906465

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock	Mar 31, 2014	P	769	$17.16	A	36,322	I	by Trust
Common Stock	Jun 30, 2014	P	668	$17.25	A	36,991	I	by Trust
Common Stock	Sep 30, 2014	P	753	$17.66	A	37,744	I	by Trust
Common Stock	Dec 31, 2014	P	656	$17.86	A	38,400	I	by Trust
Common Stock	holding	—	—		—	10,291	D
Common Stock	holding	—	—		—	20,595	I	by IRA
Common Stock^F1	holding	—	—		—	1,349	I	by Partnership
Common Stock	holding	—	—		—	2,125	I	by Spouse

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Non-Qualified Stock Option (right to buy)^F3,F2	$18.67	Jan 2, 2014	J	300	D	—	Jan 2, 2014	Common Stock	300	0	D
Non-Qualified Stock Option (right to buy)^F3,F2	$20.83	Dec 17, 2014	J	5,000	D	—	Dec 17, 2014	Common Stock	5,000	0	D

F1Reflects the adjusted shares of indirect beneficial ownership of 1,349 shares currently owned by Trauba's Clam Lake Partnership, LLP, of which the reporting person's spouse is general partner. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest.
F2These options are exercisable in annual increments of 20% each, with the first 20% vesting on the first anniversary of the option grant.
F3All shares expired and the reporting person received no value in connection with the expiration