-----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, PXLK2u8yWmKIt2PXa1GjoCMZoAzv9rmKKzlItvDBRpp3rjLl4SM/Av2hjTazj8lH dUU5xpuPXU+YHy0Nrz/sAg== 0001144204-08-024832.txt : 20080429 0001144204-08-024832.hdr.sgml : 20080429 20080429162217 ACCESSION NUMBER: 0001144204-08-024832 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080425 FILED AS OF DATE: 20080429 DATE AS OF CHANGE: 20080429 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: CHALSTROM C THOMAS CENTRAL INDEX KEY: 0001195964 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27672 FILM NUMBER: 08785799 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 4 1 v111963_ex.xml X0202 4 2008-04-25 0 0001005188 NORTH CENTRAL BANCSHARES INC FFFD 0001195964 CHALSTROM C THOMAS C/O NORTH CENTRAL BANCSHARES INC 825 CENTRAL AVE FORT DODGE IA 50501 1 1 0 0 Executive Vice President Common Stock, par value $0.01 per share 2008-04-25 4 A 0 400 0.00 A 400 D Reflects a grant of restricted stock which will vest on April 25, 2009. /s/ C. Thomas Chalstrom 2008-04-29 -----END PRIVACY-ENHANCED MESSAGE-----