-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, R+fPVsCb8q0rip8gDpvC32oX8z5jK6KjclHhcPF+4b4DrEL4Ac7c6iikWEc5WLbk r2d/MhUghcJ09+CcqS4ZOg== 0000882377-07-001295.txt : 20070501 0000882377-07-001295.hdr.sgml : 20070501 20070501171220 ACCESSION NUMBER: 0000882377-07-001295 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070427 FILED AS OF DATE: 20070501 DATE AS OF CHANGE: 20070501 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NORTH CENTRAL BANCSHARES INC CENTRAL INDEX KEY: 0001005188 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 421449849 STATE OF INCORPORATION: IA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 825 CENTRAL AVE STREET 2: C/O FIRST FED SAVINGS BANK OF FT DODGE CITY: FORT DODGE STATE: IA ZIP: 50501 BUSINESS PHONE: 5155767531 MAIL ADDRESS: STREET 1: 825 CENTRAL AVENUE CITY: FORT DODGE STATE: IA ZIP: 50501 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SINGER ROBERT H JR CENTRAL INDEX KEY: 0001195969 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27672 FILM NUMBER: 07807018 BUSINESS ADDRESS: STREET 1: C/O NORTH CENTRAL BANCSHARES INC STREET 2: 825 CENTRAL AVE. PO BOX 1237 CITY: FORT DODGE STATE: IA ZIP: 50501 BUSINESS PHONE: 5155767531 MAIL ADDRESS: STREET 1: C/O NORTH CENTRAL BANCSHARES INC STREET 2: 825 CENTRAL AVE PO BOX 1237 CITY: FORT DODGE STATE: IA ZIP: 50501 4 1 p07-0580_ex.xml X0202 4 2007-04-27 0 0001005188 NORTH CENTRAL BANCSHARES INC FFFD 0001195969 SINGER ROBERT H JR C/O NORTH CENTRAL BANCSHARES INC 825 CENTRAL AVE PO BOX 1237 FORT DODGE IA 50501 1 0 0 0 Common Stock, par value $0.01 2007-04-27 4 A 0 300 0 A 300 D Common Stock, par value $0.01 5154 D Stock option (right to buy) 31 2003-01-01 2013-01-01 Common Stock 2000 2000 D Stock option (right to buy) 36.84 2004-01-02 2014-01-02 Common Stock 2000 2000 D Stock option (right to buy) 41.49 2005-01-01 2015-01-01 Common Stock 2000 2000 D Stock option (right to buy) 38.06 2006-01-01 2016-01-01 Common Stock 2000 2000 D Reflects a grant of restricted stock which will vest on April 27, 2008. /s/ Robert H. Singer, Jr. 2007-04-30 -----END PRIVACY-ENHANCED MESSAGE-----