-----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, DSFPP09e1Thmov/XAZesWfM16h9UF4e9pS+4kY6jtJi9akmYzud4ql8WtMtgEyt8 QrU6BMTsDnbeTyJnGH3TfQ== 0001209191-03-036902.txt : 20031229 0001209191-03-036902.hdr.sgml : 20031225 20031229145839 ACCESSION NUMBER: 0001209191-03-036902 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031224 FILED AS OF DATE: 20031229 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: 250 EAST BROAD STREET STREET 2: 10TH FLOOR CITY: COLUMBUS STATE: OH ZIP: 43215 BUSINESS PHONE: 6142282800 MAIL ADDRESS: STREET 1: 250 EAST BROAD STREET STREET 2: 10TH FLOOR CITY: COLUMBUS STATE: OH ZIP: 43215 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SOKOL JOHN S CENTRAL INDEX KEY: 0000949067 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-08738 FILM NUMBER: 031075288 BUSINESS ADDRESS: STREET 1: 20 EAST STREET 2: 20 EAST BROAD STREET 4TH FLOOR CITY: COLUMBUS STATE: OH ZIP: 43215 BUSINESS PHONE: 6142282800 MAIL ADDRESS: STREET 1: 20 EAST BROAD STREET 4TH FLOOR CITY: COLUMBUS STATE: OH ZIP: 43215 4 1 doc4.xml FORM 4 SUBMISSION X0201 42003-12-2400000276400BANCINSURANCE CORP BCIS0000949067SOKOL JOHN S250 E. BROAD ST.10TH FLOORCOLUMBUSOH432151100PresidentCommon Shares2003-12-245G0E3000.00000A15097.0000ICustodian for minor children< /value>John S. Sokol also directly owns 145,741 BCIS common shares. John S. Sokol may also be deemed to indirectly own 1,750,000 BCIS common shares which are owned by Falcon Equity Partners, L.P. ("Falcon L.P."), an Ohio limited partnership whose partners are members of the Simon Sokol family. John S. Sokol holds a 8.9 percentage interest in Falcon L.P., and disclaims beneficial ownership of BCIS common shares held by Falcon L.P., except to the extent of his individual pecuniary interest therein.2,100 BCIS common shares are owned by John S. Sokol's wife, Elizabeth M. Sokol. John S. Sokol disclaims beneficial ownership of such BCIS common shares, and the filing of this report is not an admission that John S. Sokol is the beneficial owner of such BCIS common shares for the purpose of Section 16 or for any other purpo se.These 15,097 BCIS common shares are beneficially owned by John S. Sokol, as custodian for his minor children.John S. Sokol2003-12-29 -----END PRIVACY-ENHANCED MESSAGE-----