-----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, SDakxZeohhiQKgODqCtWbNJ8i8MGrSgpCYN7+Qr/5b6+AS31oiak0mT3egorRlbw 44nufv2G2QowHC0EZ4R5fg== 0001209191-03-006737.txt : 20030605 0001209191-03-006737.hdr.sgml : 20030605 20030605123000 ACCESSION NUMBER: 0001209191-03-006737 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030603 FILED AS OF DATE: 20030605 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHELEY WILLIAM S CENTRAL INDEX KEY: 0001183446 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-08738 FILM NUMBER: 03733683 BUSINESS ADDRESS: STREET 1: C/O BANCINSURANCE CORP STREET 2: 250 E BROAD STREET 10TH FL CITY: COLUMBUS STATE: OH ZIP: 43215 BUSINESS PHONE: 6142282800 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BANCINSURANCE CORP CENTRAL INDEX KEY: 0000276400 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 310790882 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 20 E BROAD ST STREET 2: 4TH FLOOR CITY: COLUMBUS STATE: OH ZIP: 43215 BUSINESS PHONE: 6142282800 MAIL ADDRESS: STREET 1: 20 E. BROAD STREET STREET 2: 4TH FLOOR CITY: COLUMBUS STATE: OH ZIP: 43215 4 1 doc4.xml FORM 4 SUBMISSION X0101 42003-06-03 0000276400 BANCINSURANCE CORP BCIS 0001183446 SHELEY WILLIAM S 1000Option to purchase Common Shares62003-06-034A020000A2004-06-032013-06-02Common Shares20002000DWilliam S. Sheley /s/Sally J. Cress as Attorney-in-Fact2003-06-05 -----END PRIVACY-ENHANCED MESSAGE-----