| Accession Number: | 0000906465-22-000036 |
| Date: | 2022-04-01 |
| Issuer: | QCR HOLDINGS INC (QCRH) |
| Original Submission Date: | 2022-04-05 |
GRIESEMER JOHN F
3551 SEVENTH STREET
SUITE 204
MOLINE, IL 61265
| Title of Security | Transaction Date | 2a. Deemed Execution Date | Transaction Code | Shares | Acquired or Disposed | Price per share | 5. Amount of Securities Beneficially Owned Following Reported Transaction | 6. Ownership Form Direct or Indirect | Nature of Indirect Ownership |
|---|---|---|---|---|---|---|---|---|---|
| COMMON STOCK | 2022-04-01 | A | 1,543 | a | $56.26 | 1,543 | direct | ||
| COMMON STOCK | 2022-04-01 | A | 20,643 | a | $56.26 | 20,643 | indirect | ||
| COMMON STOCK | 2022-04-01 | A | 21,598 | a | $56.26 | 21,598 | indirect | ||
| COMMON STOCK | 2022-04-01 | A | 30,664 | a | $56.26 | 30,664 | indirect |
| Title of Derivative Security | Conversion or Exercise Price of Derivative Security | Transaction Date | Deemed Execution Date | Transaction Code | Number of Derivative Securities Acquired (A) or Disposed of (D) | Date Exercisable | Expiration Date | Title and Amount of Securities Underlying Derivative Security | Price of Derivative Security | Number of derivative Securities Beneficially Owned Following Reported Transaction(s) | Ownership Form: Direct (D) or Indirect (I) | Nature of Indirect Beneficial Ownership |
|---|
| ID | footnote |
|---|---|
| f1 | received in exchange for 131,331 shares of guaranty federal bancshares, inc. (guaranty) common stock in connection with the merger of guaranty with and into qcr holdings, inc. (qcr) (the merger). at the effective time of the merger, each share of common stock, par value $0.10 per share, of guaranty common stock issued and outstanding immediately prior to the effective time, was automatically cancelled and converted into the right to receive, at the election of each guaranty stockholder, and subject to proration: (i) $30.50 in cash, (ii) 0.58775 shares of qcr holdings common stock, or (iii) mixed consideration of $6.10 in cash and 0.4702 shares of qcr holdings common stock. on the effective date of the merger, the closing price of guaranty common stock was $31.43 per share and the closing price of qcr common stock was $56.26 per share. |
