-----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, WoH7++093FrMHVtsx7qw2P5vQrhI2vBqTJ+mt9SlMhbTquS77dB49d8annT04ukC nlZeWl5sC42x8Ql7KOXLeg== 0001209191-07-001047.txt : 20070104 0001209191-07-001047.hdr.sgml : 20070104 20070104095323 ACCESSION NUMBER: 0001209191-07-001047 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041221 FILED AS OF DATE: 20070104 DATE AS OF CHANGE: 20070104 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/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-08738 FILM NUMBER: 07507255 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/A 1 doc4a.xml FORM 4/A SUBMISSION X0202 4/A 2004-12-21 2004-12-30 0 0000276400 BANCINSURANCE CORP BCIS 0000949067 SOKOL JOHN S 250 E. BROAD ST. 10TH FLOOR COLUMBUS OH 43215 1 1 1 0 President Common Shares 2004-12-21 5 G 0 E 4500 0.00 A 19597 I Custodian for minor children John S. Sokol directly owns 155,216 BCIS common shares. The original Form 4 filed on December 30, 2004 incorrectly reported Mr. Sokol directly owned 165,316 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 9.5 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 ownershiop 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 any other purpose. These 19,597 BCIS common shares are benefically owned by John S. Sokol, as custodian for his minor children. /s/ John S. Sokol 2007-01-04 -----END PRIVACY-ENHANCED MESSAGE-----