0001140361-11-023095.txt : 20110425 0001140361-11-023095.hdr.sgml : 20110425 20110425180752 ACCESSION NUMBER: 0001140361-11-023095 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110422 FILED AS OF DATE: 20110425 DATE AS OF CHANGE: 20110425 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: 11778388 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 doc1.xml FORM 4 X0303 4 2011-04-22 0 0001005188 NORTH CENTRAL BANCSHARES INC FFFD 0001195969 SINGER ROBERT H JR C/O NORTH CENTRAL BANCSHARES INC 825 CENTRAL AVENUE FORT DODGE IA 50501 1 0 0 0 Common Stock, par value $0.01 per share 2011-04-22 4 A 0 725 0.00 A 9683 D Common Stock, par value $0.01 per share 2000 I Spouse Includes 600 shares of restricted stock which will vest on April 22, 2012. Robert H. Singer, Jr. 2011-04-25