-----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, GifBhbzoS0oEzTZ6XmSMMjDYtetwC+goaNNPBIkX/7Qubr6ENNT6LVCr/4TsQxxc CnnqXUeQWgoc1BAAKETn7A== 0001040046-97-000005.txt : 19970617 0001040046-97-000005.hdr.sgml : 19970617 ACCESSION NUMBER: 0001040046-97-000005 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970616 SROS: NASD 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 SEC ACT: 1934 Act SEC FILE NUMBER: 005-51127 FILM NUMBER: 97624115 BUSINESS ADDRESS: STREET 1: 322 E MAIN CITY: BISMARK STATE: ND ZIP: 58501 BUSINESS PHONE: 7012503040 MAIL ADDRESS: STREET 1: 322 E MAIN CITY: BISMARK STATE: ND ZIP: 58501 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: ERICKSON DAVID A CENTRAL INDEX KEY: 0001040046 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 322 E MAIN CITY: BISMARCK STATE: ND ZIP: 58501 MAIL ADDRESS: STREET 1: 322 E MAIN CITY: BISMARCK STATE: ND ZIP: 58501 SC 13G 1 SCHEDULE 13G UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. ---)* BNCCORP, Inc. ------------------------------------------------------------ (Name of Issuer) COMMON STOCK ------------------------------------------------------------ (Title of Class of Securities) 055936108 ------------------ (CUSIP Number) * 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). Page 1 of 4 Pages CUSIP No. 055936108 13G Page 2 of 4 Pages - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON David A. Erickson ###-##-#### - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States - -------------------------------------------------------------------------------- NUMBER OF 5 SOLE VOTING POWER SHARES 129,152 BENEFICIALLY ---------------------------------------------------------- OWNED BY 6 SHARED VOTING POWER EACH 38,820 REPORTING ---------------------------------------------------------- PERSON 7 SOLE DISPOSITIVE POWER WITH 129,152 ---------------------------------------------------------- 8 SHARED DISPOSITIVE POWER 38,820 - -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 167,972 - -------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) excludes certain shares* - -------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 7.18% - -------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - -------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! Page 3 of 4 Pages Item 1. (a) Name of Issuer: BNCCORP, Inc. (b) Address of Issuer's Principal Executive Office: 322 E. Main Avenue Bismarck, ND 58501 Item 2. (a) Name of Person Filing: David A. Erickson (b) Address of Principal Business Office: 322 East Main Avenue Bismarck, ND 58501 (c) Citizenship: United States (d) Title of Class of Securities: Common Stock (e) CUSIP Number: 055936108 Item 3. If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b), check whether the person filing is a: N/A Item 4. Ownership. (a) Amount beneficially owned: 167,972 shares of common stock ------- (b) Percent of class: 7.18% ----- (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote 129,152 ------- (ii) shared power to vote or to direct the vote 38,820 ------ (iii) sole power to dispose or to direct the disposition of 129,152 ------- (iv) shared power to dispose or to direct the disposition of 38,820 ------ Page 4 of 4 Pages Item 5. Ownership of Five Percent or Less of a Class. N/A Item 6. Ownership of More than Five Percent on Behalf of Another Person. N/A Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company. N/A Item 8. Identification and Classification of Members of the Group. N/A Item 9. Notice of Dissolution of Group. N/A Item 10. Certification. N/A 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. Date: December 31, 1995 ----------------- By: /s/ David A. Erickson ---------------------- -----END PRIVACY-ENHANCED MESSAGE-----