-----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, TfZK+Cngw+P3piWqCqmn5PksoLh8AZNSvzDodlpqF62XgM1G5Db6spHQDF29748g iwI3me448N7atIRMAt0sLA== 0001307220-04-000001.txt : 20041102 0001307220-04-000001.hdr.sgml : 20041102 20041102120738 ACCESSION NUMBER: 0001307220-04-000001 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041029 FILED AS OF DATE: 20041102 DATE AS OF CHANGE: 20041102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Edge David W CENTRAL INDEX KEY: 0001307220 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27672 FILM NUMBER: 041112280 BUSINESS ADDRESS: BUSINESS PHONE: 515-576-7531 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 3 1 primary_doc.xml PRIMARY DOCUMENT X0202 3 2004-10-29 0 0001005188 NORTH CENTRAL BANCSHARES INC FFFD 0001307220 Edge David W C/O NORTH CENTRAL BANCSHARES, INC. 825 CENTRAL AVENUE FORT DODGE IA 50501 0 1 0 0 CFO and Treasurer Stock options 37.5 2014-10-29 Common Stock 2500 D Options vest annually in 20% increments over five years beginning on October 29, 2005. /s/ David W. Edge 2004-11-02 -----END PRIVACY-ENHANCED MESSAGE-----