-----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, SiKYHFBAP2EbiqK0msqY6ue8agyWwfwYQi3QNQUusIc3NVMvVcWSuNjf1gv/oD+L uH6BmVXcsWm/onxr9csU7Q== 0000109747-98-000001.txt : 19980401 0000109747-98-000001.hdr.sgml : 19980401 ACCESSION NUMBER: 0000109747-98-000001 CONFORMED SUBMISSION TYPE: NT 10-K PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19971231 FILED AS OF DATE: 19980331 SROS: AMEX FILER: COMPANY DATA: COMPANY CONFORMED NAME: SOUTHERN SECURITY LIFE INSURANCE CO CENTRAL INDEX KEY: 0000109747 STANDARD INDUSTRIAL CLASSIFICATION: LIFE INSURANCE [6311] IRS NUMBER: 591231733 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: NT 10-K SEC ACT: SEC FILE NUMBER: 002-35669 FILM NUMBER: 98580607 BUSINESS ADDRESS: STREET 1: 755 RINEHART RD STREET 2: P O BOX 958402 CITY: LAKE MARY STATE: FL ZIP: 32746 BUSINESS PHONE: 4073217113 MAIL ADDRESS: STREET 1: P O BOX 958402 STREET 2: 755 RINEHART ROAD CITY: LAKE MARY STATE: FL ZIP: 32746 FORMER COMPANY: FORMER CONFORMED NAME: COLUMBIA LIFE INSURANCE CO OF FLORIDA DATE OF NAME CHANGE: 19790501 NT 10-K 1 U. S. SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 12b-25 ------------- SEC File Number: 2-35669 CUSIP Number: 843805102 NOTIFICATION OF LATE FILING (Check One): (X) Form 10-K ( ) Form 20-F ( ) Form 11-K ( ) Form 10-Q ( ) Form N-SAR Form Period Ended: ( ) Transition Report on Form 10-K ( ) Transition Report on Form 20-F ( ) Transition Report on Form 11-K ( ) Transition Report on Form 10-Q ( ) Transition Report on Form N-SAR For the Transition Period Ended: ----------------------------------------------------------------------- Read Attached Instruction Sheet Before Preparing Form. Please Print or Type. Nothing in this form shall be construed to imply that the Commission has verified any information contained herein. ------------------------------------------------------------------------ If the notification relates to a portion of the filing checked above, identify the Item(s) to which the notification relates: ------------------------------------------------------------------------ ------------------------------------------------------------------------ ------------------------------------------------------------------------ PART I -- Registrant Information ------------------------------------------------------------------------ Full Name of Registrant: Southern Security Life Insurance Company Former Name if Applicable: n/a Address of Principal Executive Office (Street and Number): 755 Rinehart Road City, State and zip Code: Lake Mary, Florida 32746 ------------------------------------------------------------------------ PART II -- Rules 12b-25 (b) and (c) ------------------------------------------------------------------------ If the subject report could not be filed without unreasonable effort or expense and the Registrant seeks relief pursuant to Rule 12b-25(b), the following should be completed. (Check box if appropriate): (X) (a) The reasons described in reasonable detail in Part III of this form could not be eliminated without unreasonable effort or expense; (X) (b) The subject annual report, semi-annual report, transition report on Form 10-K, Form 20-K, 11-K or Form N-SAR, or portion thereof will be filed on or before the fifteenth calendar day following the prescribed due date; or the subject quarterly report or transition report on Form 10-q, or portion thereof will be filed on or before the fifth calendar day following the prescribed due date; and ( ) (c) The accountant's statement or other exhibit required by Rule 12B-25(c) has been attached if applicable. ------------------------------------------------------------------------ PART III -- Narrative ------------------------------------------------------------------------ State below in reasonable detail the reasons why Form 10-K, Form 20-K, 11-K or Form N-SAR, or the transition report or portion thereof could not be filed within the prescribed period. (Attach Extra Sheets if Needed) The Registrant and its consulting actuaries, KPMG Peat Marwick, LLP, are still in the process of accumulating and analyzing information required for the December 31, 1997 10-K of the Registrant. The extension should be adequate for the accumulation of the remaining information. ------------------------------------------------------------------------ PART IV -- Other Information ------------------------------------------------------------------------ (1) Name and telephone number of person to contact in regard to this notification: David C. Thompson (407) 321-7113 (Name) (Area Code) (Telephone Number) (2) Have all other periodic reports under section 13 or 15(d) of the Securities Exchange Act of 1934 or section 30 of the Investment Company Act of 1940 during the preceding 12 months or for such shorter period that the registrant was required to file such report(s) been filed? If the answer is no, identify report(s). (X) Yes ( ) No (3) Is it anticipated that any significant change in results of operations from the corresponding period for the last fiscal year will be reflected by the earnings statements to be included in the subject report or portion thereof? ( ) Yes (X) No If so: attach an explanation of the anticipated change, both narratively and quantitatively, and, if appropriate, state the reasons why a reasonable estimate of the results cannot be made. Southern Security Life Insurance Company (Name of Registrant as specified in charter) has caused this notification to be signed on its behalf by the undersigned thereunto duly authorized. Date: March 31, 1998 By:/s/ David C. Thompson David C. Thompson Executive Vice President INSTRUCTION: The form may be signed by an executive officer of the registrant or by any other duly authorized representative. The name and title of the person signing the form shall be typed or printed beneath the signature. If the statement is signed on behalf of the registrant by an authorized representative (other than an executive office), evidence of the representative's authority to sign on behalf of the registrant shall be filed with the form. -----END PRIVACY-ENHANCED MESSAGE-----