-----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, FmVZ+llzZRhmErSePVB2vBDRLMsMccK6iKJuM4c9+JER170T0zwZoVJpoSDSluw7 AOJ0iSIozumh8iTR0VUJnQ== 0000927797-06-000017.txt : 20060120 0000927797-06-000017.hdr.sgml : 20060120 20060120093426 ACCESSION NUMBER: 0000927797-06-000017 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050927 FILED AS OF DATE: 20060120 DATE AS OF CHANGE: 20060120 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: 06539555 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 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 4 1 ncb-form4edge_092705ex.xml X0202 4 2005-09-27 0 0001005188 NORTH CENTRAL BANCSHARES INC FFFD 0001307220 Edge David W C/O NORTH CENTRAL BANCSHARES, INC. 825 CENTRAL AVENUE FORT DODGE IA 50501 0 1 0 0 CFO and Treasurer Common stock, par value $0.01 100 D Stock option (right to buy) 37.50 2014-10-29 Common stock 2500 2500 D Stock option (right to buy) 37.74 2005-09-27 4 A 0 2500 0 A 2015-09-27 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. Options vest over five years, at an annual rate of 20%, with the first vesting scheduled on September 27, 2006 and each anniversary thereafter. /s/David W. Edge 2006-01-20 -----END PRIVACY-ENHANCED MESSAGE-----