-----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, I7SB6wx0OGKVoT2RlAHPcq54SbEsd70lqwygFg8eQM1FRwDE6rG56iDP7amZ88GE ZQOwKlgJseQ76g84UfLvIg== 0000927797-05-000032.txt : 20050210 0000927797-05-000032.hdr.sgml : 20050210 20050210145012 ACCESSION NUMBER: 0000927797-05-000032 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041231 FILED AS OF DATE: 20050210 DATE AS OF CHANGE: 20050210 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: Edge David W CENTRAL INDEX KEY: 0001307220 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27672 FILM NUMBER: 05592451 BUSINESS ADDRESS: BUSINESS PHONE: 515-576-7531 MAIL ADDRESS: STREET 1: C/O NORTH CENTRAL BANCSHARES, INC. STREET 2: 825 CENTRAL AVENUE CITY: FORT DODGE STATE: IA ZIP: 50501 5 1 ncbform5-edge_123104ex.xml X0202 5 2004-12-31 0 0 0 0001005188 NORTH CENTRAL BANCSHARES INC FFFD 0001307220 Edge David W C/O NORTH CENTRAL BANCSHARES, INC. 825 CENTRAL AVE. PO BOX 1237 FORT DODGE IA 50501 0 1 0 0 CFO and Treasurer Stock option (right to buy) 37.50 2014-10-29 Common stock 2500 2500 D Options vest over five years, at an annual rate of 20%, with the first vesting scheduled on October 29, 2005 and each anniversary thereafter. /s/ David W. Edge 2005-02-09 -----END PRIVACY-ENHANCED MESSAGE-----