0001140361-11-046434.txt : 20110920 0001140361-11-046434.hdr.sgml : 20110920 20110920143222 ACCESSION NUMBER: 0001140361-11-046434 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110916 FILED AS OF DATE: 20110920 DATE AS OF CHANGE: 20110920 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HROMATKA THOMAS J CENTRAL INDEX KEY: 0001457654 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27672 FILM NUMBER: 111099251 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 doc1.xml FORM 4 X0304 4 2011-09-16 0 0001005188 NORTH CENTRAL BANCSHARES INC FFFD 0001457654 HROMATKA THOMAS J C/O NORTH CENTRAL BANCSHARES, INC. 825 CENTRAL AVENUE FORT DODGE IA 50501 0 1 0 0 EVP of subsidiary Common Stock, par value $0.01 per share 2011-09-16 4 P 0 1000 17.75 A 2000 D Common Stock, par value $0.01 per share 971 I By 401(k) and KSOP Reflects total shares allocable to the reporting person of the shares of stock held by The Principal Trust Company, as trustee of the North Central Bancshares, Inc. Stock Fund of the First Federal Savings Bank of Iowa 401(k) Plan and Stock Ownership Plan (the "KSOP"). Includes 2 shares acquired under FFFD's KSOP since the date of the reporting person's last ownership report. /s/ Thomas J. Hromatka 2011-09-20