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