-----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, VxLuizEBe/+vlnIL+Yrs3eLyGoi0ugsq2P9B/by5XM3HTkMiAN8CqM30ZhJcur0B rS0hWSEbQWMxzGnTm6kr7g== 0001209191-07-035566.txt : 20070606 0001209191-07-035566.hdr.sgml : 20070606 20070606154737 ACCESSION NUMBER: 0001209191-07-035566 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070604 FILED AS OF DATE: 20070606 DATE AS OF CHANGE: 20070606 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: 07904040 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 X0202 4 2007-06-04 0 0000276400 BANCINSURANCE CORP BCIS 0000949067 SOKOL JOHN S 250 E. BROAD ST. 10TH FLOOR COLUMBUS OH 43215 1 1 1 0 President and Acting CEO Common Shares 2007-06-04 4 P 0 5833 6.40 A 1750000 I By Limited Partnership The reported securities are owned by Falcon Equity Partners, L.P. ("Falcon L.P."), an Ohio limited partnership whose partners are members of the Si Sokol family, including the reporting person, who following the transaction reported herein, holds a 10.4 percentage interest in Falcon L.P. On June 4, 2007, the reporting person purchased a 0.3333 percentage interest in Falcon L.P. from his father, Si Sokol. The reporting person disclaims beneficial ownership of BCIS common shares held by Falcon L.P., except to the extent of his pecuniary interest therein. The reporting person also directly owns 208,810 BCIS common shares. The reporting person also beneficially owns 30,397 BCIS common shares, as custodian for his minor children. The reporting person's wife, Elizabeth M. Sokol, also owns 2,100 BCIS common shares. The reporting person disclaims beneficial ownership of such BCIS common shares, and the filing of this report is not an admission that the reporting person is the beneficial owner of such BCIS common shares for purposes of Section 16 or any other purpose. /s/ John S. Sokol 2007-06-06 -----END PRIVACY-ENHANCED MESSAGE-----