-----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, H45fimhjMT83HzyVoFwzV8JICphoN0+f1lIOxn8r3Wm5WIlBtHc1dtnMfMB98GI2 NCDOqNsMMVbMkBm2vQZrIg== 0000927797-05-000051.txt : 20050224 0000927797-05-000051.hdr.sgml : 20050224 20050224141024 ACCESSION NUMBER: 0000927797-05-000051 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050223 FILED AS OF DATE: 20050224 DATE AS OF CHANGE: 20050224 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27672 FILM NUMBER: 05636925 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 4 1 ncbform4-edge_022305ex.xml X0202 4 2005-02-23 0 0001005188 NORTH CENTRAL BANCSHARES INC FFFD 0001307220 Edge David W 825 CENTRAL AVENUE FORT DODGE IA 50501 0 1 0 0 Chief Financial Off. & Treas. Common stock, par value $0.01 2005-02-23 4 P 0 100 41.75 A 100 D 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 2005-02-23 -----END PRIVACY-ENHANCED MESSAGE-----