-----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, ATB+IcRJN1AurA9r5O6qxFvId01xVyb19T52VnYZan6PJMSv8PfVeoWR0N4RpGrD tn/7Sm46Tyf//w1LUQYVrQ== 0001144204-08-008462.txt : 20080213 0001144204-08-008462.hdr.sgml : 20080213 20080213162707 ACCESSION NUMBER: 0001144204-08-008462 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20071231 FILED AS OF DATE: 20080213 DATE AS OF CHANGE: 20080213 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: BRADLEY DAVID M CENTRAL INDEX KEY: 0001195965 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27672 FILM NUMBER: 08605225 BUSINESS ADDRESS: STREET 1: C/O NORTH CENTRAL BANCSHARES INC STREET 2: 825 CENTRAL AVE. PO BOX 1237 CITY: FORT DODGE STATE: IA ZIP: 50501 BUSINESS PHONE: 5155767531 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 5 1 v103155_ex.xml X0202 5 2007-12-31 0 0 0 0001005188 NORTH CENTRAL BANCSHARES INC FFFD 0001195965 BRADLEY DAVID M C/O NORTH CENTRAL BANCSHARES INC 825 CENTRAL AVE PO BOX 1237 FORT DODGE IA 50501 1 1 0 0 Chairman/President & CEO Common stock, par value $0.01 10893 D Common stock, par value $0.01 4511 I 401(k) Trust Common stock, par value $0.01 20883 I ESOP Common stock, par value $0.01 203 I Spouse and minor child Common stock, par value $0.01 300 D Stock option (right to buy) 17.375 2011-01-01 Common stock 11500 11500 D Stock option (right to buy) 38.67 2016-02-24 Common stock 10000 10000 D Reflects total shares allocable to the reporting person of the shares of stock held by the Bank of New York, as trustee of the North Central Bancshares, Inc. Stock Fund of the First Federal Savings Bank of Iowa 401(k) Plan. Pursuant to Rule 16a-3(f)(1)(i)(B) under the Securities and Exchange Act of 1934, as amended, only end of period holdings as of December 31, 2007, rather than specific transactions, are reported. Reflects a grant of restricted stock which will vest on April 27, 2008. All options currently exercisable. Options vest over five years, at an annual rate of 20%, with the first vesting scheduled on February 24, 2007 and each anniversary thereafter. /s/ David M. Bradley 2008-02-12 -----END PRIVACY-ENHANCED MESSAGE-----