-----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, DZNPPjPEvQZQBgT8WVr8h14QxxJSJ83vc/uvfaAtR9E6yqNVM6po5zgp2L4k3G67 N36Z34DRVgM1ZCiFeMR37A== 0001209191-08-044962.txt : 20080804 0001209191-08-044962.hdr.sgml : 20080804 20080804135359 ACCESSION NUMBER: 0001209191-08-044962 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080125 FILED AS OF DATE: 20080804 DATE AS OF CHANGE: 20080804 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: 08987465 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 X0303 4 2008-01-25 0 0000276400 BANCINSURANCE CORP BCIS 0000949067 SOKOL JOHN S 250 E. BROAD ST. 10TH FLOOR COLUMBUS OH 43215 1 1 1 0 Chairman, CEO and President Common Shares 2008-07-31 4 A 0 37359 0.00 A 246169 D Common Shares 2008-01-25 5 G 0 E 7200 0.00 A 37597 I Custodian for minor children 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 late Si Sokol and the Estate of Si Sokol. John S. Sokol holds a 10.4 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. John S. Sokol's wife, Elizabeth M. Sokol, also owns 2,100 BCIS common shares. 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 any other purpose. /s/ John S. Sokol 2008-08-04 -----END PRIVACY-ENHANCED MESSAGE-----