-----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, Hnm92R1VESxeoA4tJXLI4MuAlm5KiH7hRcjACda0qMiVumjChU6sjxDtEPEJXqmb 4MZUqUgye6jkFPcTkEz8+w== 0001144204-10-044593.txt : 20100816 0001144204-10-044593.hdr.sgml : 20100816 20100816160630 ACCESSION NUMBER: 0001144204-10-044593 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100812 FILED AS OF DATE: 20100816 DATE AS OF CHANGE: 20100816 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: 101019744 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 v194217_ex.xml X0303 4 2010-08-12 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 Executive Vice President Common Stock, par value $0.01 per share 2010-08-12 4 P 0 1000 15.50 A 1000 D Common Stock, par value $0.01 per share 2010-08-12 4 I 0 969 16.00 A 969 I By 401(k) Plan 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. /s/ Thomas J. Hromatka 2010-08-16 -----END PRIVACY-ENHANCED MESSAGE-----