-----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, DpUs8JHqSYd+yb4gN5Vv1Z9mZt3S6KYnd1QFB76Fz2NW1WibNv/WUhF/sEpQNtEU Idq+ae3ZO7s+UNQGbkm+zQ== 0000927797-04-000209.txt : 20040805 0000927797-04-000209.hdr.sgml : 20040805 20040805104046 ACCESSION NUMBER: 0000927797-04-000209 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040803 FILED AS OF DATE: 20040805 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: PIERSCHBACHER JOHN L CENTRAL INDEX KEY: 0001195963 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27672 FILM NUMBER: 04953577 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 ncbfrm4pierschbacher8-3_04ex.xml X0202 4 2004-08-03 0 0001005188 NORTH CENTRAL BANCSHARES INC FFFD 0001195963 PIERSCHBACHER JOHN L C/O NORTH CENTRAL BANCSHARES INC 825 CENTRAL AVE. PO BOX 1237 FORT DODGE IA 50501 0 1 0 0 Treasurer Common Stock, par value $0.01 per share 2004-08-03 4 M 0 6500 19.25 A 2709 D Common Stock, par value $0.01 per share 2004-08-03 4 S 0 6500 37. D 933 I 401(k) Trust Employee stock option (right to buy) 19.25 2004-08-03 4 M 0 6500 0 D 2003-01-30 2008-01-30 Common stock 6500 0 D Reflects total shares allocable to the reporting person pursuant to shares of stock held by the Bank of New York, as trustee of the North Central Bancshares, Inc. stock fund of the First Federal Savings Bank of Iowa 401(k) plan. Pursuant to rule 16a-(f)(1)(B) under the Securities Act of 1934, as amended, only end-of-period holdings, rather than specific transactions are reported. /s/ John L. Pierschbacher 2004-08-04 -----END PRIVACY-ENHANCED MESSAGE-----