-----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, CO0z2dp9j0cnQhVLJXEMok4wfKltHj4oDt5bYVn0NykxVdBj5EKRKtrnDgxfDA6G Dkd8XxrC97aD5JnJxxllGQ== 0001144204-08-061950.txt : 20081107 0001144204-08-061950.hdr.sgml : 20081107 20081107160415 ACCESSION NUMBER: 0001144204-08-061950 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20081105 FILED AS OF DATE: 20081107 DATE AS OF CHANGE: 20081107 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: THOMPSON MARK M CENTRAL INDEX KEY: 0001195970 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27672 FILM NUMBER: 081171422 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 v131106_ex.xml X0303 4 2008-11-05 0 0001005188 NORTH CENTRAL BANCSHARES INC FFFD 0001195970 THOMPSON MARK M 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 2008-11-05 4 P 0 1000 16.30 A 2200 D Common Stock, par value $0.01 per share 2008-11-05 4 P 0 1000 16.30 A 3213 I By Thompson Family LP These shares are being held in Thompson Family LP, a family limited partnership of which the reporting person, Mark M. Thompson, is the acting general partner under a power of attorney granted by the general partner. /s/ Mark M. Thompson 2008-11-05 -----END PRIVACY-ENHANCED MESSAGE-----