-----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, ARoFDwmPEWKbiDG+KrFt8ZrrgslTdts8e1xWT1hCs84DMBrOlGk4/puerN08ucLo 5LtqUadb7OYqXEDeoi7JMw== 0000906280-05-000032.txt : 20050214 0000906280-05-000032.hdr.sgml : 20050214 20050214153202 ACCESSION NUMBER: 0000906280-05-000032 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20050214 DATE AS OF CHANGE: 20050214 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: BNCCORP INC CENTRAL INDEX KEY: 0000945434 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 450402816 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-51127 FILM NUMBER: 05609324 BUSINESS ADDRESS: STREET 1: 322 E MAIN STREET 2: PO BOX 4050 CITY: BISMARCK STATE: ND ZIP: 58501 BUSINESS PHONE: 7012503040 MAIL ADDRESS: STREET 1: 322 E MAIN STREET 2: PO BOX 4050 CITY: BISMARCK STATE: ND ZIP: 58501 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SCOTT TRACY J CENTRAL INDEX KEY: 0001040045 FILING VALUES: FORM TYPE: SC 13G/A MAIL ADDRESS: STREET 1: 322 E MAIN CITY: BISMARCK STATE: ND ZIP: 58501 SC 13G/A 1 schedule13g_123104.htm

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SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

SCHEDULE 13G

Under the Securities Exchange Act of 1934

(Amendment No. 9)*

 

BNCCORP, Inc.

(Name of Issuer)

 

Common Stock

(Title of Class of Securities)

 

         055936108         

(CUSIP Number)

 

                          December 31, 2004                          

(Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

[ ] Rule 13d-1(b)

[x] Rule 13d-1(c)

[ ] Rule 13d-1(d)

*The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

Persons who respond to the collection of information contained in this form are not
required to respond unless the form displays a currently valid OMB control number.

 

 

CUSIP No. 055936108

1.

Name of Reporting Persons.                                                                                               Tracy J. Scott

 

I.R.S. Identification No. of above persons (entity only).
2. Check the Appropriate Box if a Member of a Group (See Instructions)

(a)      _____

(b)      _____

3.

SEC Use Only

 
4. Citizenship or Place of Organization

United States of  America

 

Number of

Shares

Beneficially

Owned by

Each Reporting

Person with

 5. Sole Voting Power

138,319 shares
6. Shared Voting Power

0 shares
7. Sole Dispositive Power

138,319 shares
8. Shared Dispositive Power

0 shares
9. Aggregate Amount Beneficially Owned by Each Reporting Person

138,319 shares
10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)

_____
11. Percent of Class Represented by Amount in Row (9)

4.8%*
12. Type of Reporting Person (See Instructions)

IN

 

 

__________________

* Based on 2,884,876 total shares outstanding as of December 31, 2004.

 

 

 

Item 1(a).     Name of Issuer:

                                            BNCCORP, Inc.

Item 1(b).     Address of Issuer's Principal Executive Offices:

                                            322 East Main Avenue

                                            Bismarck, ND 58501

Item 2(a).     Name of Person Filing:

                                            Tracy J. Scott

Item 2(b).     Address of Principal Business Office:

                                            322 East Main Avenue

                                            Bismarck, ND 58501

Item 2(c).     Citizenship:

                                            United States

Item 2(d).     Title of Class of Securities:

                                            Common Stock

Item 2(e).     CUSIP Number:

                                            055936108

Item 3.        If this statement is filed pursuant to §§ 240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:

  (a) [  ]

Broker or dealer registered under Section 15 of the Act (15 U.S.C. 78o);
  (b) [  ]

Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c);
  (c) [  ]

Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c);
  (d) [  ]

Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8);
  (e) [  ]

An investment adviser in accordance with § 240.13d-1(b)(1)(ii)(E);
  (f) [  ]

An employee benefit plan or endowment fund in accordance with § 240.13d-1(b)(1)(ii)(F);
  (g) [  ]

A parent holding company or control person in accordance with § 240.13d-1(b)(1)(ii)(G);
  (h) [  ]

A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);
  (i) [  ]

A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);
  (j) [  ]

Group, in accordance with § 240.13d-1(b)(1)(ii)(J).

Item 4.         Ownership:

  (a)     Amount Beneficially Owned 138,319 shares  
       
  (b)     Percent of Class 4.8%  
       
  (c)     Number of shares as to which such person has:    
       
    (i)     sole power to vote or to direct the vote 138,319 shares  
         
    (ii)     shared power to vote or to direct the vote 0 shares  
         
    (iii)    sole power to dispose or direct the disposition of 138,319 shares  
         
    (iv)    shared power to dispose or to direct the disposition of 0 shares  

Item 5.        Ownership of Five Percent or Less of a Class. If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than 5 percent of the class of securities, check the following [x].

Item 6.         Ownership of More than Five Percent on Behalf of Another Person:

Not Applicable.

Item 7.        Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company:

Not Applicable.

Item 8.         Identification and Classification of Members of the Group:

Not Applicable.

Item 9.         Notice of Dissolution of Group:

Not Applicable.

Item 10.       Certifications:

By signing below I certify that, to the best of my knowledge and belief, the Securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the Securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.

 

 

SIGNATURE

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct as of December 31, 2004.

 

 

 

 By:



/s/ Shawn Cleveland Goll

Date:   February 10, 2005

 

 Shawn Cleveland Goll
on behalf of Tracey J. Scott,
pursuant to a Power of Attorney

 

 

POWER OF ATTORNEY

Know all by these presents, that the undersigned hereby constitutes and appoints each of Shawn Cleveland Goll, Brenda Rebel, Annette Eckroth, William B. Masters, Margaret F. Murphy and Kelly C. Simoneaux, signing singly, the undersigned's true and lawful attorney-in-fact to:

(1)     execute for and on behalf of the undersigned, in the undersigned's capacity as a shareholder of BNCCORP, INC. (the "Company"), Schedule 13D and 13G in accordance with Section 13 of the Securities Exchange Act of 1934 and the rules thereunder;

(2)     do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Schedule 13D or 13G, complete and execute any amendment or amendments thereto, and timely file such form with the United States Securities and Exchange Commission and any stock exchange or similar authority; and

(3)     take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion.

The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 13 of the Securities Exchange Act of 1934.

This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Schedule 13D or 13G with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 17th day of February, 2004.

 

 

 

 



/s/ Tracey J. Scott

 

 

 Tracey J. Scott
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