Abstract. The design PG: (4, q) of the points and planes of PG (4, q) forms a quasi-symmetric 2-design with block intersection numbers x = 1 and y = q + 1. We give some characterizations of quasi-symmetric designs with x = 1 which have a spread through a fixed point. For instance, it is proved that if such a design D is also smooth, then D = PG2 (4, q).